913-557-0355

913-557-0355

  • Home
  • Services
  • Contact Us
  • Forms
  • More
    • Home
    • Services
    • Contact Us
    • Forms
  • Home
  • Services
  • Contact Us
  • Forms

Libby Rooney Counseling and
Life Coaching

Libby Rooney Counseling and Life CoachingLibby Rooney Counseling and Life CoachingLibby Rooney Counseling and Life Coaching

Supporting Your Well-Being

Supporting Your Well-BeingSupporting Your Well-Being

New Client Forms

Please fill out these forms and bring them to your first appointment or scan and email them back to me at libbyrooney@libbyrooneycounseling.com.

Child Client Intake Form (pdf)Download
Client Intake Form (pdf)Download
Client Physician Consulting_Waiver Agreement (pdf)Download
Credit Card Authorization Form (pdf)Download
2. Policy for Email Form (1) (pdf)Download
4. Minor Consent Form (1) (pdf)Download
5. Financial Agreement 2024 (1) (pdf)Download
6. Notice of Privacy (1) (pdf)Download
7. Release of Inforomation Form (1) (pdf)Download
1. Confidentiality Information Form (1) (pdf)Download
Life Coaching Consent Form 2024 (pdf)Download

Copyright © 2025 Libbyrooneycounseling - All Rights Reserved.

Powered by