The Gentle Shepherd
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Download and complete forms before your first appointment. 
​
​Send completed forms to  
info@gsccohio.com

Adult Forms

Welcome Letter
File Size: 49 kb
File Type: pdf
Download File

Policies and Procedures
File Size: 226 kb
File Type: pdf
Download File

Adult Consent
File Size: 186 kb
File Type: pdf
Download File

Adult History
File Size: 327 kb
File Type: pdf
Download File

Late Cancel Payment Authorization
File Size: 136 kb
File Type: pdf
Download File

Couples Therapy Consent
File Size: 123 kb
File Type: pdf
Download File

Family Therapy Consent
File Size: 166 kb
File Type: pdf
Download File

Marriage Therapy Consent
File Size: 71 kb
File Type: pdf
Download File

Self-Pay Fee Application
File Size: 213 kb
File Type: pdf
Download File

Release of Information
File Size: 239 kb
File Type: pdf
Download File

Emergency Contact Release of Information
File Size: 51 kb
File Type: pdf
Download File

HICF
File Size: 524 kb
File Type: pdf
Download File

Child and Adolescent Forms

Welcome Letter
File Size: 49 kb
File Type: pdf
Download File

Policies and Procedures
File Size: 226 kb
File Type: pdf
Download File

Child and Adolescent Consent
File Size: 108 kb
File Type: pdf
Download File

Child and Adolescent History
File Size: 342 kb
File Type: pdf
Download File

Ages 12-17 Teen Checklist
File Size: 420 kb
File Type: pdf
Download File

Late Cancel Payment Authorization
File Size: 136 kb
File Type: pdf
Download File

HICF
File Size: 524 kb
File Type: pdf
Download File

Release of Information
File Size: 239 kb
File Type: pdf
Download File

Emergency Contact Release of Information
File Size: 51 kb
File Type: pdf
Download File

Self-Pay Fee Application
File Size: 213 kb
File Type: pdf
Download File

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  • Home
  • CLINICIANS
  • About
  • FAQ
  • Contact
  • New Client Forms
  • Intake Scheduling