Services 2 — Hispanic Family Counseling

Resources for download

Read!

*COPAYMENTS WILL BE CHARGE
BEFORE SESSIONS.
It is the policy of HFC that one of our representatives call clients to collect the copayment amount.

Click on any file to download.

For you to download

• Client Intake Forms - English

• Client Intake Forms - Spanish

• HFC Referral Form

• HFC Referral Form Spanish

• HFC Referral Form for TCM

• PSR Referral Form

• Client Satisfaction Survey (Spanish)

• Client Satisfaction Survey

• Telehealth Consent Form (Spanish)

• Telehealth Consent Form

For you to review

• Client Rights Pamphlet

• How to Join Your Telehealth Session

• Client Rights Pamphlet (Spanish)

• How to Join Your Telehealth Session (Spanish)

Covid-19

• Covid-19 Client Questionnaire

• Covid-19 Client Questionnaire (Spanish)

Release of information

• Consent to Release Information

• Release of Responsibility (ROI)