Patient Forms
Genuine Solutions Counseling Center
Patient Forms
Over 15 Years of Counseling Expertise | Next-Day Appointments Available | In-Person or Tele-therapy | Accepting New Patients
Over 15 Years of Counseling Expertise
Next-Day Appointments Available
In-Person or Tele-therapy
Accepting New Patients
Providing All the Forms You Need in One Place
The Genuine Solutions Counseling Center patient forms is now available for download and printing. We offer a wide range of group, individual, family, and career counseling services throughout the entire state of Michigan. Give us a call at (248) 206-0378 to schedule a free consultation.
See the List of Available Patient Forms Below:
- Acknowledgment of receipt of client orientation handbook
- Activities release and waiver of liability
- Alumni consent for follow-up
- Assignment of benefits
- Client grievance procedure
- Client rights
- Client's rules and expectations
- Confidentiality
- Consent for camera surveillance & therapeutic photograph
- Consent for drug screening drug and alcohol use policy
- Consent for reporting communicable diseases
- Consent for treatment & services
- Coordination of benefits and pre-existing
- Insurance and financial agreement
- Notice of patient financial responsibility
- Notice of privacy practices
- Program rules
- Safety contract
- Self-harm agreement confidentiality
- Universal precautions for HIV & infection control
- Uses and disclosure of health information
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