Forms

All new patients need to download and complete the Intake Packet

All new patients need to download and complete the Intake Packet Below: Please email to receptioni@creeksidecounseling.org

If you are turning in paperwork for couples therapy, you will also need to complete individual adult packets and submit those with your couples packets.

Intake for Adults
Intake for Couples
Intake for Minors 12-17
Intake for Minors Under 11
Please note that all intake packets must be complete in order to be processed. If there are sections you are unsure of please call for assistance. Missing information will delay the process.
Please call to check your benefits prior to scheduling your first counseling appointment:
We bill all major medical insurance on your behalf. Here are a few that we accept. Please remember that accept is not the same as contracted.
Tricare
Blue Shield
HMC
Blue Cross
Beacon Health Strategies
MHN/ Health Net
ACI

Blue Cross (Not a provider for Covered California Anthem Blue Cross or most EPO plans)
Beacon Health Strategies (Partnership Health Plan)

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