
Individualized, Professional, Compassionate Care
Forms
Here you will find forms that are required for your registration to receive mental/ behavioral health counseling through Innovative Interventions.
Registration Packet
Please download the files below that are required to be completed for registration. All forms are in PDF format and can be filled out on your computer or your phone (by downloading a free PDF app such as Adobe Fill & Sign or Google Drive).
Once we receive your registration, we will process it and get you connected with a therapist!
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Please send all completed registration paperwork to: admin@innovativeinterventions.org
Required Forms For Registration
Please click each link below to download the 5 required forms:
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Release of Information (ROI) for your Primary Care Provider (PCP)​
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Release of Information (ROI) for our Licensed Clinical Supervisors
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Optional Form
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