Forms for Anger Management 818

Go paperless. Click on the following link to complete forms online and save time and money on your registration and intake. PAPERLESS ENROLLMENT

If you are interested in taking the STAXI-2 Assessment form, please email our team at avediana@aol.com, with your name, number, and reason for your interest and we will email you back with the required information for taking the test. Thank you.

Or, if you prefer to print the paperwork, complete and bring them with you to your intake session, please complete the following three steps:

Step 1: If you are interested in registering for our program, please print the following three forms, read and sign, and bring it with you to your scheduled appointment with one of our anger management counselors. Note: If you don’t have a printer, forms will be available at the time of your intake to complete.

Registration and Agreement to Participate

Policy for Anger Management Participants

Policy Signature Page for Anger Management Participants

Step 2: Completing the intake form helps expedite the time of you intake. Your anger management counselor can focus on the areas that need more attention. It is not necessary that you complete this form prior to your intake, however, it is helpful.

Intake

Step 3: If you would like for your anger management counselor to have the release to share your progress with anyone, please print and complete the following form, and bring it with you to your intake session.

Authorization to Release/Exchange Information