Forms

Instructions for Paperwork:

• Please print and complete the following forms.
• The “HIPAA Notice” is to inform you about HIPAA regulations to protect your privacy.  This form is for you to keep and does not need to be returned to your counselor.
• Please bring the completed paperwork with you to your first appointment.

Download Forms:

• About STRONGGirls Programs
• STRONGGirls Student Pre-Test
• STRONGGirls Parent Pre-Test
• STRONGGirls Counselor/Client Agreement
• STRONGGirls Intake Information Form
• STRONGGirls Medical Release Form
• STRONGGirls Personal Image Release Form
• STRONGGirls Authorization for Release of Information for School
• STRONGGirls Authorization for Release of Information for Court
• STRONGGirls Authorization for Release of Information for Department of Human Resources
• HIPAA Notice