New Client Forms

The following links will allow you to download and print the new client forms required for you to begin treatment at Balance Point Clinical Counseling. If you choose to download and complete the forms, we ask that you bring them with you to your first session. Please do not email completed forms.

It is recommended to have an appointment scheduled prior to working on these forms. Please call (330) 625-8807 to schedule an appointment.

All new clients must fill out and sign the New Client Demographic form, the Outpatient Clinical Counseling Informed Consent form, and the Client Financial Policy. The Notice of Privacy Practices is available for your review.

If you are participating in Couples or Family Counseling, please also fill out the Informed Consent Addendum for Couples/Family Counseling.

These forms can be filled out electronically through your Simple Practice Client Portal. If you have your first appointment scheduled and did not yet receive a link to set up your Client Portal, please call us at (330) 625-8807 or email us at info@balancepointcc.com. If you have already created your account, you can access the link to login by clicking “More” on the above menu and selecting “Client Portal”. Use password-less secure sign-in to access your account.