REAL SOLUTIONS COUNSELING
  • Home
  • TeleHealth
  • Services
    • Counseling
    • Case Management
    • Peer Support
    • CBRS
    • Respite
    • Targeted Care Coordination (TCC)
    • Request a Call
    • Pricing
  • Providers
    • Office/Community Counselors >
      • Alexis Van Acker
      • Yesenia Tyler
    • School Counselors >
      • Breanna Epps, LCSW
      • Justine Herbert, LPC
      • Jean Lovelace, COUI
    • Case Managers >
      • Chandra Adhikari
      • Sajjad Askaryar
      • Yeime Shipley
    • Peer/Youth Support Specialists >
      • April Cheney
      • Dipika Lamichhane
    • CBRS >
      • Chandra Adhikari
      • Sajjad Askaryar
      • Yeime Shipley
    • Respite
    • TCC >
      • Chandra Adhikari
    • Clinical Director >
      • Jim Grigg
  • Forms/Resources
    • Community
  • Location
  • Contact

Community

Complete Packages

New Adult Client Package -Paper
New Adult Client Paperwork
File Size: 4472 kb
File Type: pdf
Download File

New Adult Client Package -Electronic
New Adult Client Paperwork
File Size: 1362 kb
File Type: pdf
Download File

New Youth Client Package -Paper
New Youth Client Paperwork
File Size: 4565 kb
File Type: pdf
Download File

New Youth Client Package -Electronic
New Youth Client Paperwork
File Size: 839 kb
File Type: pdf
Download File

Individual Forms

Sliding Scale Application
Sliding Scale Application
File Size: 450 kb
File Type: pdf
Download File

Client Information Sheet
Client Information Sheet
File Size: 20 kb
File Type: docx
Download File

Release of Information Form
Release of Information Form
File Size: 34 kb
File Type: doc
Download File

Home

Services

Providers

Forms

Location

Contact

Photo used under Creative Commons from nahid-v
  • Home
  • TeleHealth
  • Services
    • Counseling
    • Case Management
    • Peer Support
    • CBRS
    • Respite
    • Targeted Care Coordination (TCC)
    • Request a Call
    • Pricing
  • Providers
    • Office/Community Counselors >
      • Alexis Van Acker
      • Yesenia Tyler
    • School Counselors >
      • Breanna Epps, LCSW
      • Justine Herbert, LPC
      • Jean Lovelace, COUI
    • Case Managers >
      • Chandra Adhikari
      • Sajjad Askaryar
      • Yeime Shipley
    • Peer/Youth Support Specialists >
      • April Cheney
      • Dipika Lamichhane
    • CBRS >
      • Chandra Adhikari
      • Sajjad Askaryar
      • Yeime Shipley
    • Respite
    • TCC >
      • Chandra Adhikari
    • Clinical Director >
      • Jim Grigg
  • Forms/Resources
    • Community
  • Location
  • Contact