New Client Forms

Please read through the entire packet of information. You can either print the blank paperwork and fill it out by hand or you can answer the forms on your computer and then print out the completed documents. When couples or other family members are attending counseling together, each adult attending any session must complete both a “Consent and Agreement for Treatment” form for the therapists’ records.  It is also helpful for the therapist to have a “Client Data Sheet” for each person attending therapy, although these forms are only required for the primary client. Please remember to bring all of your paperwork to your first appointment.  Thank you.

Introduction and Privacy Notice of Balanced Lifestyle Counseling

BLC Consent and Agreement for Treatment

BLC Intake Form

Contact Balanced Lifestyle Counseling

(248) 652-4799

410 W. University Dr., Suite 210, Rochester Hills, MI 48307

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Click here to download our client forms