Intake/Release Forms Client History   Bring this to the first session with your counselor. This will give your counselor have a brief overview of your concerns. Personal Information    Fill this out prior to your first visit.  Be sure to read both pages carefully, fill them out completely, and sign. Release of Information    If we need to coordinate treatment with another medical care provider, we’ll need your written permission.
3011 Longford Dr suite 4 • Spring Hill, TN 37174 • 615-483-7007