Breaking Barriers Therapy Center

Breaking Barriers Therapy CenterBreaking Barriers Therapy CenterBreaking Barriers Therapy Center
  • Home
  • New Clients
    • Forms
    • Client Registration
    • Client Questionaire
  • Our Therapists
  • More
    • Home
    • New Clients
      • Forms
      • Client Registration
      • Client Questionaire
    • Our Therapists

Breaking Barriers Therapy Center

Breaking Barriers Therapy CenterBreaking Barriers Therapy CenterBreaking Barriers Therapy Center
  • Home
  • New Clients
    • Forms
    • Client Registration
    • Client Questionaire
  • Our Therapists

Client Registration and Questionnaire

Help us get to know you before your first session. Please fill out the following forms online.

Client Questionaire
Client Registration

Forms for ALL New CLients

Please download, print, and fill out these forms before your first appointment.

BBTC, Informed Consent for Therapy (pdf)Download
BBTC, Release of Information (ROI) (pdf)Download
BBTC, Tech & Social Media Policy (pdf)Download

Forms for Parents and Guardians of MINORS

Please download , print, and fill out forms before your first session. Parents and guardians of minor clients  need to also fill out the forms for all new clients above. 

BBTC, Joint Custody Parent Consent Form (pdf)Download
BBTC, Child Therapy Service Agreement (pdf)Download
BBCT, Joint Custody Parent Contact Form (pdf)Download

Copyright © 2025 Breaking Barriers Therapy Center - All Rights Reserved.

Powered by GoDaddy Website Builder

  • Client Registration
  • Client Questionaire