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Intake Forms

If you are a new client at Family Guidance Center, you will need to complete some paperwork so that we (and you!) have the necessary information prior to beginning services. You can drastically reduce the time needed to complete these forms on the day of your assessment by downloading them here and filling them out prior to your first appointment.

There will be a few additional forms to be completed when you arrive for your intake, so please plan to come approximately 10-15 minutes prior to your scheduled appointment time.

 

TO PRINT FOR YOUR RECORDS TO PRINT / SIGN / BRING TO VISIT
 Attendance/Discharge Policy Insurance Authorization and Release
 Notice of Privacy Practices Consent Agreement Form
Rights and Responsibilities Policy Client Information Questionnaire
Community Supports Client Information Questionnaire (Spanish)
Cuestionario de Información del Cliente

 

 

 

 

 

 

 

 

 

 

What's New at FGC

Event Logo NO FGC transp

SAVE THE DATE!

Mind Your Health, 
a family-friendly community event!

Saturday, May 18th
Stone House, Wyomissing
9am - 1pm 

5k run, family fun walk, vendor booths, food trucks, FREE family activities, FREE health and wellness activities, and MORE!

 



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