FORMS

AZ Counseling pre-visit forms area. Please print and complete forms needed for your appointment.

• Patient Data form (print and complete)

  
  

• Patient Insurance Information form (print and complete)

  
  

• Informed Consent for Assessment and Treatment (print and complete)

  
  

• HIPAA Notice of Privacy Practices (read)

  
  

• Cancellation Policy (print and complete)

  
  

Contact Info

• AZCounseling, LLC.
• Phone: 602-867-4905
• Fax: 602-867-4824
• Address: 5533 East Bell Road
• Suite 127
• Scottsdale, AZ 85254
• Email: info(at)azcounseling.com
• Click here for directions

SCHEDULE AN APPOINTMENT TODAY!