Gayle Seely Counseling | Therapist in Hillsdale, Michigan

Client Forms

Please print and complete the first four forms to bring with you to your first appointment.

Forms and policy documents.

Insurance Registration. (Only BC/BS Insurance)

Insurance Registration. (Only BC/BS Insurance)

Insurance Registration. (Only BC/BS Insurance)

Non-Insurance Registration

Policies and Procedures

Credit Card Agreement

Good Faith Estimate

Release of Information

Telemental Health Informed Consent

Schedule a confidential appointment

Reach out when you are ready. Your first step can be simple, private, and pressure-free.

Contact

Schedule a confidential appointment

Reach out when you are ready. Your first step can be simple, private, and pressure-free.

Contact