Initial Paperwork

& other forms

Before beginning therapy sessions, you must complete either an adult or child intake form and sign all three of our contracts combined in one file below. Please bring all four documents with you to your first session.

Adult Intake Form

This form should be completed if the primary client is 18 years of age or older.

All Contracts

This one document contains all three contracts. All three contracts must be signed.

Child Intake Form

This form should be completed if the primary client is 17 years of age or younger.

Release of Information

Please sign this document if you wish to share information with another party

(i.e. family member, doctor, school etc.)

How to Submit a Claim

Step by step instructions for submitting a claim for reimbursement with your insurance company.

Schedule Now

Appointments available upon request Monday - Saturday.

Indy Therapy and Counseling

7550 S. Meridian St. Suite A

Indianapolis, IN 46217

admin@indytc.com

Tel: 317-992-1919

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© 2019 Indy Therapy and Counseling