top of page

Olimene Counseling Services
A Premier Behavioral Health Practice

We Are Offering Telehealth Counseling!

ABOUT US
NEW CLIENTS
INTAKE FORMS/THERAPYNOTES PORTAL
APPT REQUEST
OUR TEAM
CONTACT
BLOG
More

Use tab to navigate through the menu items.

INTAKE FORMS/
THERAPYNOTES PORTAL

Hamster

RELEASE

OF INFORMATION

Client Intake Form

CLIENT INTAKE FORM

NOTICE OF

PRIVACY PRACTICES

CREDIT CARD FORM

NO SHOW/

LATE CANCELLATIONS

ADULT INFORMATION FORM

ADOLESCENT INFORMATION FORM

CONSENT FOR TREATMENT OF A MINOR

Image by Gary Bendig

TELEHEALTH INFORMED

CONSENT FORM

Image by Aidas Ciziunas

INFORMED

CONSENT FOR

COVID

OUTPATIENT SERVICE CONTRACT

Toy Poodle

GOOD FAITH
ESTIMATE FORM

Turtle

THERAPYNOTES PORTAL

Payment

Connect With Us

Join Our Mailing Listing • Never Miss An Update!

Email

Thanks for subscribing!

© 2022 by Olimene Counseling Services

First Name

Last Name

Email

Write a message

Thanks for submitting!

bottom of page