Monthly Archives: January 2014

Intake Forms – Private Practice Forms Starter kit

Professional counseling forms for Immediate Download – Customize Your Own Mental Health Forms
Updated with 2013 CPT Codes and 2015 DSM V Criteria

This counseling forms tool kit is everything you need to start your private practice or update the forms for your counseling organization (discount pricing available for group practices – see bottom of page). As a professional therapist you know that your intake forms are the beginning of providing excellent service to your clients. Having well organized and comprehensive mental health forms is a must to  obtaining the information necessary to begin a professional mental health assessment. Check out this Sentence Rewriter – Best Rewording Tool | SEOToolsCentre here on this site to have a better website for your clients.

If you have been spending time and energy searching for the right forms or even creating your own forms…look no further, this comprehensive set of 16 professional mental health intake forms can be downloaded immediately.

And what’s better then knowing that your Private Practice Forms Starter Kit comes with a 100%, 30 day, money back guarantee. You can rest assured that your investment in your business and clients is protected with this guarantee.

These Forms can Save You Precious Time and Money

How? Because they are Microsoft word documents they can be downloaded immediately and saved to your own computer. You will then be able to streamline your intake process by emailing (if you choose) the intake paperwork directly to your referral. They will then be able to print out the forms and complete them in the comfort and privacy of their own home.

NOT TECHNICAL – no worries – all the forms are also included in PDF format as well. That means all you need to do is print and use. If you want to add your credentials in the header just use your professional stamp.

Here’s a little bit of advice: When you email the forms state, “Please complete each form thoroughly (Check off each box and answer each question) If something does not apply please put n/a. Please return the completed forms to me at your first appointment.” These simple words can save you and your client time and frustration

The forms in your Private Practice Forms Starter Kit are created in Microsoft Word 2003 and are Windows and Macintosh compatible. Once you down load your forms you will customize them by adding your own name, address and contact information in the header. Now you have your own professional set of mental health forms.

Your Private Practice Forms Starter Kit can be
downloaded immediately for $69.97 and includes
the following 16 comprehensive forms:

  • 1.) Phone Intake – The assessment begins with the first phone call.
  • 2. & 3.) 2 different Personal Information and Insurance Forms. Form I is for those mental health therapists who provide the added service of filing insurance paperwork for their clients. Form II assigns the insurance benefits to the clients (this is useful when you collect fees up front and have insurance reimbursements sent to the client.)
  • 4.)  Information and Consent Form – this form helps to ensure that the client is fully informed and involved in making decisions about their therapy. It can be easily modified to suit each therapist’s own style of counseling practice and interventions.
  • 5.) Biopsychosocial form – this comprehensive form helps clients begin formulating goals for counseling before they even have their first session with you.
  • 6.) Intake Assessment – this therapy intake form maps nicely with the biopsychosocial to easily summarize areas of clinical concern and complete your mental health assessment.
  • 7.) Progress Note – my personal favorite. This form includes all the essentials to be documented in a professional progress note.
  • SOAP Note – Do you prefer the SOAP format for writing your notes? We have you covered!
  • 8.) Client’s Own Progress Note – To aid clients in making the most of their therapy experience, this form is useful for tracking homework assignments, remembering helpful tools and recording things to discuss in their next session with you.
  • Release of Information – A necessary and straight forward tool to have on hand.
  • Treatment Plan Form – For developing long and short term goals to formalize your treatment interventions with your client.
  • Treatment Plan Review – Use as a plan review and a discharge summary.
  • Financial Evaluation Form and sliding scale chart — Helps in assessing clients financial need for a reduction in fees.
  • Discharge Letter and Evaluation form — Two documents in one. A discharge letter that includes an evaluation form to give your clients an opportunity to give you valuable feedback on your services.
  • Client Services Log — Use to track appointments and client payments.
  • Statement of Services — A billing statement for billing your client or non-insurance third party payors. Tip: take form to office supply store and to make into a carbonless 3 copy form.
  • To view examples of some of the forms in the Private Practice Forms Starter Kit click the links above.

As soon as you place your order, you can download your new counseling forms for immediate use…

Buy Now Blue(Important: Your product will be delivered to you through a secure download page. You will also receive an email directing you to the download page.)

Bonus Tool for Therapists and Counselors

For the one low price of $69.97, with the 30 day money back, no questions asked guarantee, you will receive in your package a Communications Skills Summary. This is a powerful, 3 step process that will help your clients to learn the all important skill of active listening.

More Bonus Tools!!

When working with couples where do you begin? This Rate Your Marriage assessment addresses 10 aspects of a committed marriage relationship and will give your couples a structured format to begin assessing, communicating about, and addressing the health of their relationship.

Even More Bonus Tools!!

As a third Free Bonus Tool, I will also include a Food Mood and Activity Log. This form helps you and your client to track progress when there are nutritional and exercise interventions being utilized.

Private Practice Forms Starter Kit + Bonus Tools

These 3 bonus tools (+ the 17 Professional Counseling Forms) are available when you order your Private Practice Forms Starter Kit for $69.97, with a 30 day, no questions asked, guarantee.

To order now click below…

Buy Now Blue

(Important: Your product will be delivered to you through a secure download page. You will also receive an email directing you to the download page.)

Christian Counseling Forms

Professional Counseling Forms
(17 different forms in two different formats) with

Updated 2013 CPT codes and Updated DSM Criteria for 2015

You know as a counselor, that counseling forms are one of the tools of our trade. Having the right forms available can help you do your job better. Are you tired of struggling with the right forms and perhaps spending hours and hours trying to revise those forms?

For conventional counseling forms click here
(These forms are for you if you work in a secular setting)

Well there’s good news for you! The forms available to you here have been revised and refined over the last several years. They have been honed into tools that will enhance your ability to help your clients.

This comprehensive set of professional counseling forms was designed by someone like yourself. Someone who knows what counselors need in a counseling form.

Because the work has been done for you, you save time and money. No more designing and redesigning forms. And if you find, after reviewing your Professional Counseling Forms Tool Kit, that it is not what you need, I offer a 100%, 30 day, money back guarantee.

These Tools Will Save You Money and Time

How? Most people now communicate through Email and have the resources at home to print out these forms.

Prior to your client’s initial appointment, send the intake forms to them as an Email attachment. That way they can complete at their leisure, in the privacy and comfort of their own home. This saves you time, money and paper shuffling and is much more convenient for clients whose time is valuable too.

All the tools in the Professional Counseling Forms Tool Kit are created in Microsoft Word 2003 and are Windows and Macintosh compatible. And, you can easily personalize them. Simply add your own name, address and contact information in the header and voila you have a complete set of professional counseling forms for your office.

NOT TECHNICAL – no worries – all the forms are also included in PDF format as well. That means all you need to do is print and use. If you want to add your credentials in the header just use your professional stamp.

These forms will help you to collect the information you need (without redundancy) to begin the helping process right away. The Professional Counseling Forms Tool Kit is available to you for $69.97 and includes the following 17 comprehensive forms:

  • 1.) Phone Intake – this is where it starts.
  • 2. & 3.) 2 different Personal Information and Insurance form . Form I assigns insurance benefits to you. Form II assigns insurance benefits to your clients (I collect fees up front and have insurance reimbursements sent to clients so I use form II.)
  • 4.) Information and Consent Form – this form is designed specifically for Biblical counselors.
  • 5.) Biopsychosocial Form – this is a comprehensive form which helps clients to begin formulating their goals for therapy before they even have their first appointment with you.
  • 6.) Intake Assessment – this counseling intake form nicely dovetails with the biopsychosocial helping you to easily summarize your client’s problem areas and complete your clinical assessment.
  • 7.) Progress Note my favorite form. Having struggled for years in writing good progress notes, I have designed this form to be a helpful tool for tracking client’s progress and effectively processing each session.
  • 8.) SOAP Note – Do you prefer to use the SOAP format for your progress notes? We have you covered.
  • 9.) Progress Note Client Version – I have designed a progress note for my clients to use. This helps them to get the most out of each counseling session and track their own progress.
  • 10.) Release of Information – The all important release of information is simple and easy to use.
  • 11.) Treatment Plan Form – Develop long and short term goals to enhance treatment.
  • 12.) Treatment Plan Review – This form can be used for both treatment plan reviews and as a discharge summary.
  • 13.) Financial Evaluation Form and sliding scale chart — if you offer a sliding scale this is a must.
  • 14.) Discharge and Evaluation form — This is two documents in one. A simple discharge letter along with an evaluation form for your client to give you valuable feed back about the services you provided them.
  • 15.) Client Services Log — for keeping track of appointment and payments.
  • 16.) Statement of services — A detailed billing Statement you can use to bill your client or non-insurance third party payors. Can be made into a carbonless 3 copies form at your office supply store.
  • 17.) Invoice – A basic billing statement
  • For examples of some of the forms in the tool kit please click the associated links above.

As soon as you place your order, you can immediately download your new forms and begin using them…

Buy Now Blue(Important: Your product will be delivered to you through a secure download page. You will also receive an email directing you to the download page.)

5 Bonus Tools for Christian Counselors

For the one low price of $69.97, with the 30 day money back, no questions ask guarantee, you will receive in your package 5 bonus tools…

How often do you find clients struggling with knowing what God’s will is for them? Clients frequently need help Discerning God’s Will. This extra bonus form will take your clients through the same faith building steps that George Mueller used to determine when he was Hearing from God.

More Bonus Tools!!!

You know that communication skills effect just about every therapeutic issue. Because communication issues are critical to your client’s success you will also receive my Effective Communication Skills Summary. This is a great tool to use with clients to teach them the step by step process of effective communication.

Even More Bonus Tools!!

As a third Free Bonus Tool, I will also include a Step by Step Spiritual Nourishment process. If communication skills are important to therapeutic success, you know that a client’s ability to grasp God’s word and apply it in practical ways is even more critical. This tool shows clients exactly how to do that.

It is based on Deuteronomy 8:3 that tells us we can’t rely on food alone to satisfy us. We need the very word of God to nourish our souls.

In the Tool Kit you will receive a 4th and 5th BONUS – a Progress Note form designed specifically for use in Biblical counseling settings.  This form is designed to be used online or as a PDF document to just print and use.

Professional Counseling Forms Tool Kit + Bonus Tools

The 5 bonus tools (+ the 17 Professional Counseling Forms = 39 FORMS IN ALL) I am offering as part of your $69.97, 30 day, no questions asked, money back guarantee, are worth the $69.97 alone. These are tools that will help you help your clients.

If at any time in the next 30 days after purchase you feel that this package of counseling forms is not worth the $69.97 you paid, contact me for a full, no questions asked, refund.

To order now click below…
Buy Now Blue(Important: Your product will be delivered to you through a secure download page. You will also receive an email directing you to the download page.)

 

Statement of Faith

Statement of FaithWe believe there is one, self-existent God whose name is YHWH, who exists in three separate persons that are equal in power, glory, and eternity. We believe that He created all things for His good pleasure. Genesis 1, Deuteronomy 6:1, John 1:1, 2 Corinthians 3:17

We believe that the Bible is God’s holy, inerrant and inspired word to all mankind. 2 Timothy 3:16, 2 Peter 1:20-21

We believe in the depravity of man, which is a result of the sin of Adam and Eve. Because of this sin man is not only separated from God but hostile to Him as well. Romans 3:23, Ephesians 2:1-3

We believe that the only way to be made right with God and enjoy Him for eternity is through repenting of our sins, accepting the sacrifice of His son Jesus Christ on the cross for our sins, and believing that God raised Him from the dead. Acts 2:22-41, Hebrews 10, Romans 10:9-10

We believe that God has a plan for each persons life who turns from their sin and embraces Jesus Christ as Savior and Lord, to do good works which bring Him glory. John 17:4, 2 Corinthians 5:15, Ephesians 2:10

We believe that Jesus Christ reigns and rules in heaven and that He intercedes on behalf of His people. Hebrews 1:3, Romans 8:3, I John 2:1

We believe that He will return to earth one day to judge the living and the dead and that those who do not know Him as Lord of their life will suffer eternal damnation. Matthew 7:21-23, Matthew 25:31-45

We believe that after the judgement there will be a new heaven and a new earth, paradise restored; where God’s original plan for mankind will be fulfilled. We believe that God will once again dwell with His people and there will be no more death and no pain. Revelation 21:1-4 7

We believe that emotional, relational and spiritual healing and health come through an ever deepening relationship with the Lord Jesus Christ. We believe that the Holy Spirit ultimately is the One who guides the Christian into all truth, healing and maturity by applying the finished work of Jesus Christ in the life of the believer. Isaiah 61:1-3, John 16:13.

My dear children, I write this to you so that you will not sin. But if anybody does sin, we have one who speaks to the Father in our defense–Jesus Christ, the Righteous One. He is the atoning sacrifice for our sins, and … We know that we have come to know him if we obey his commands. 1 John 2:1-3

If anyone acknowledges that Jesus is the Son of God, God lives in him and he in God. 1 John 4:15

But these are written that you may believe that Jesus is the Christ, the Son of God, and that by believing you may have life in his name. John 20:31

Do you believe? Then open up a dialogue (prayer) between you and The Almighty, confessing your sins, acknowledging that you believe that Jesus is the Son of the living God who died on the cross for your sins and was resurrected. Ask Him to fill you with His Holy Spirit and make you a new creation in Christ that you might live for Him Who died for you. Determine in your heart that you will follow and honor Him with your life, depending on His grace to do so.

Make sure you let other believers know that you have placed your faith in Christ, read the Holy Scriptures (the Bible) and get connected with a Bible teaching church.

Pastoral Counselor Piedmont

Edward Blackwelder, Board Certified Pastoral Counselor
Piedmont and Gadsden, Alabama
Piedmont Office: 256-447-0040
Gadsden Office: 256-546-2975

Pastoral Counselor PiedmontMy name is Dr. Edward Blackwelder and I am a Board Certified Pastoral Counselor through the American Association of Christian Counselors (AACC). Additionally, I am a retired college sociology professor and minister. For the past twenty years I have counseled prison inmates and inmate families as a part of my academic duties.

In retirement I have continued to offer Pastoral Counseling to a large population in North East Alabama and North West Georgia as well as online.

I hold a Bachelor’s degree in sociology, a Master’s in Criminal Justice, a Master’s in Theology and a Doctorate in Theology. Both theology degrees are concentrated in Christian Counseling.

I frequently conduct Pastoral/Christian counseling seminars to various criminal justice agencies, church groups, civic organizations, etc.

Liberty Chaplain Ministries offers Christian counseling twenty-four hours a day, seven days a week. Please do not hesitate to contact me should you need my services.

God bless you, my friend!

Dr. Edward Blackwelder
Liberty Chaplain Ministries
518 South Center Avenue
Piedmont, Alabama 36272

256-447-0040 (Office)
256-282-8946 (Cell)
256-447-0019 (Fax)

St. James Counseling Ministry
622 Chestnut Street
Gadsden, Alabama 35901
256-546-2975

Pastoral Counselor Huntsville, Alabama

Cindy Neeley, Pastoral Counselor
Huntsville, Alabama
256-716-4048
Healingmercies4u at yahoo.com

Pastoral Counselor Huntsville AlabamaCindy Neeley is a pastoral counselor, life coach and founder of Woodland House of Mercy since 1994.

Originally from Woodland, California, Cindy moved to Huntsville, Alabama in 1999. Cindy completed an internship program with the Elijah House Prayer Counseling Center. She is a licensed minister and holds a Bachelor of Theology degree. She is also certified from NADA as an ADS (Auricular Detox Specialist), and a Rapid Eye Technician. She headed the counseling department at Impact Ministries in Huntsville, Alabama for 4 years.

Cindy counsels from a basis of Biblical principles, but successfully reaches people from a wide variety of belief backgrounds through her ability to reach into the heart. All of Cindy’s work is directed toward facilitating a greater experience and understanding of the love of God.

Her “Life Mastery Experience” workshops and seminars as well as her personal counseling are all focused on bringing a person back into the place of choice and empowerment for which God created us. Her approach to resolving the issues of life are both Bible-principled and practical as she brings a fresh look at every situation to reveal the options that are so often hidden beneath the surface of the circumstances and emotions surrounding them.

Contact Information:
Cindy Neeley
256-716-4048
Healingmercies4u at yahoo.com