First session forms

Please click on the appropriate LINK below to print your paperwork.  Complete and send to Client Registration office. The Registration form and the below forms much be received before the first appointment can be scheduled.

Current Custody Documents are required if the client is a minor with divorced parents or if the client is under the care of a guardian or Children’s Services. This helps us to appropriately determine consent for care and access to confidential information. Please submit the full document along with the below forms.



Adult client

Please click HERE to download the Adult Client paperwork. Print, fill out, and sign. Send forms to the Client Registration office either by email (intake@emerge.org), fax (330-873-3444), mail (EMERGE Counseling Services, ATTN: Client Registration Office, 900 Mull Avenue, Akron OH 44313) or bring them to the Akron office. (900 Mull Avenue, Akron OH 44313).

minor client

Please click HERE to download the Minor Client paperwork.  Print, fill out, and sign. Send forms to the Client Registration office either by email (intake@emerge.org), fax (330-873-3444), mail (EMERGE Counseling Services, ATTN: Client Registration Office, 900 Mull Avenue, Akron OH 44313) or bring them to the Akron office. (900 Mull Avenue, Akron OH 44313).



previous minor client

Please click HERE to download the paperwork for a Minor that is a Previous Client. Print, fill out, and sign. Send forms to the Client Registration office either by email (intake@emerge.org), fax (330-873-3444), mail (EMERGE Counseling Services, ATTN: Client Registration Office, 900 Mull Avenue, Akron OH 44313) or bring them to the Akron office. (900 Mull Avenue, Akron OH 44313).