Forms





"...that he who began a good work in you will carry it on to completion until the day of Christ Jesus."

Philippians 1:6

 

Before your first appointment:

Although Koinonia Christian Counseling is considered "out of network" with most insurance companies, we will file on your behalf. However, please consult with your individual insurance company and plan coverages beforehand to verify your benefits.

Then, before your first appointment, please download, print, and complete all the requested information ahead of time.  Bring it with you for your first appointment in order to save time upon arriving.  All forms are in PDF format.

Client Information Consent Form

Credit Card Authorization Form

Although it is not necessary to download, print, or fill out the HIPPA form below, it is here for your convenience to review prior to your first visit.

HIPPA Privacy 2014