Robin Day 

Licensed Professional Counselor

Patients Forms

All new clients must complete a Client Information form, a Consent to Treatment, and a Privacy Policy Acknowledgement form. Please print these out these forms, complete them, and bring them to your first appointment. Click here to download all forms.

Click here to download the patient forms for GoalsFIRST for Women™ program only.

To review or download my Privacy Policy, please click here.

These forms are supplied as a regular PDF. If you are having problems opening this file, you may need to install a newer version of Adobe Reader. Click here to follow the simple steps to download Adobe Reader.