Client Forms

Client Intake Forms

Please complete all of the following INTAKE forms for your Initial intake appointment. You are welcome to print, complete and bring with you - or scan and email to cindy@cranecounselingllc.com or via text at 301.370.9794.

Client History Form
Mood Inventory Form
Informed Consent Form
Credit Card Authorization Form
Teletherapy/Audio Consent Form
Medicare Opt-Out Contract Form: (Clients 65 yr + with Medicare)
Authorization for Release of Information