client registration forms

After completing the online Registration Form below, the Client Registration office will call to schedule your appointment.


For your convenience, the health history forms are available with the links below. These forms are needed for your first session. Please print the forms, fill them out, and bring to your first appointment.


Please click HERE to read Emerge Counseling Services' NOTICE OF PRIVACY.

  • ONLINE registration form

    Click here to fill out the Client Registration Form. Registration is required for each person requesting individual counseling.

  • Health History Forms

    Please click here to print the ADULT Health History Forms. Please fill the form out and bring to the first appointment.

    Please click here to print the MINOR CLIENT Health History Forms. Please fill the forms out and bring to the first appointment.

    Please Click here to print the RETURNING MINOR CLIENT Health History Forms. Please fill the forms out and bring to the first appointment.

  • Locations


    Click HERE to see our Satellite Offices and get directions to their locations.

  • Client Consent form

    The attached Client Consent Form will be filled out and signed in session with your clinician at your first appointment.. The form is available here for your review. You do not need to bring this form with you to your appointment.