Sugarloaf Counseling Forms

This page contains links to copies of the administrative forms we use.

The New Client Forms is a packet that we ask all new clients to complete. Please do not download or complete this sample form – when you contact a therapist to make arrangements to meet, your therapist will email you a therapist-specific version of these forms.

The Good Faith Estimate form is an estimate of the costs of therapy. This form is only for clients who will be paying for treatment directly ("self-pay"). Clients who are using health insurance to pay for part of the cost do not receive this form. Again, this is a sample form; your therapist will provide you with a completed form if you are a self-pay client.

The Request for Records form is for you to use if you want us to forward your records to anyone else. You may download this form, fill it out, and return it, either directly to your therapist or to

If you have any questions, feel free to contact us at, or contact a specific therapist at their email address.

Thank you.