Forms

Clients have the option to complete their intake paperwork in whichever way is most convenient for them. They may choose to print the intake packet using the hyperlink below, fill it out, and email it to tracival@outlook.com. Alternatively, clients can email mirandabarker@valentine-counseling.com to request a login for our secure online portal, where they can complete all necessary forms electronically. This allows for a flexible and streamlined process to get started with services.

If you’re seeking couples counseling, please see below for the couples therapy forms, to be completed by each partner. Please bring these forms with you to your session, or email them to tracival@outlook.com.

Valentine Counseling Services Intake Packet (PDF)

Observation Sessions

Couples Only

Couples Satisfaction Checklist – Download (pdf)

Couples Questionnaire – Download (pdf)