Contact Us Today!

Freedom Counseling Center

Phone: (507)934-4160

Email: David Andros

Forms

Admission Brochure

Admission Brochure
Admission brochure.pdf
Adobe Acrobat document [13.7 KB]
Biographical Questionnaire
20190930_Biographical-Questionnaire.pdf
Adobe Acrobat document [815.2 KB]
Client Rights and Information
Client Rights and Information.pdf
Adobe Acrobat document [14.7 KB]
Freedom Counseling Center Directions
Freedom Counseling Center Directions.pdf
Adobe Acrobat document [5.0 KB]
Sign-up & Professional Agreement
20191101_FCC_Signup_1.pdf
Adobe Acrobat document [220.4 KB]

In order to comply with HIPAA requirements, the best way to initiate the application process is to email Dave or Heather and request these forms in secure fashion.

 

We'll send you the forms via a secure email address. If you return them by the same address the entire exchange will be secure as well as HIPAA compliant.

 

We highly recommend filling our forms with the official Adobe Reader application. This insures all fields work as well as enabling you to save the document to work on later. Please double check that you have saved your work before sending the form.

 

This link will take you to the right version for whatever device you're on: https://get.adobe.com/reader/