New Patient Forms

Welcome to Affiliated Family Counselors!

We are excited you chose Affiliated Family Counselors for your counseling needs!

We are here to help you in any way possible so please feel free to call the office with any questions you may have when completing your new patient paper work.  If you are an adult there is no need to complete the “parent” section of the paper work.  Make sure each page is signed, which will help when you arrive at our office.  Please bring your photo ID, completed paper work and insurance card(s) and we will be happy to file all insurance claims for you.  We will gladly check your insurance benefits for you prior to your appointment.  If you are responsible for charges other than your copay / coinsurance you will be notified ahead of time so there are no surprises at your visit.  All copays, co insurance and deductibles are due at time of service.  If you are unable to attend your scheduled appointment, please kindly give us a 24 hour notice.

Again, we welcome you to Affiliated Family Counselors and want your experience with AFC to be the best it can be.  Feel free to contact me at any time if you have concerns that need to be addressed.