Additional/New Insurance

This is an optional form.  Please only fill out this form if you have more than one insurance plan and/or your insurance plan has changed since becoming a client of Glenview Counseling Group.

Additional/New Credit Card

This is an optional form.  Please only fill out this form if you have more than one credit card and/or your credit card has changed or expired since becoming a client of Glenview Counseling Group.

Client Information Update

This is an optional form.  Please only fill out this form if you need to update information that has changed since becoming a client of Glenview Counseling Group, such as new home address, new phone, name change, etc.

Release of Information

This document allows us to communicate with others outside of our practice, such as family members, other providers, etc.

Please fill out one form for each person with whom you would like us to communicate.