New Client Forms

Please complete one of the following forms, depending on who the client is (i.e., if your child is coming in, please complete the Child Forms.). If you have any questions, please call us at 816-561-3726.
Adult Information Form	Adobe Acrobat PDF
Adolescent Information Form	Adobe Acrobat PDF
Child Information Form	Adobe Acrobat PDF
Clients must READ the "Notice of Policies & Practices" and "Counseling Services Agreement" and "Financial Agreement".
Notice of Policies & Practices	Adobe Acrobat PDF
Counseling Services Agreement	Adobe Acrobat PDF
Financial Agreement	Adobe Acrobat PDF

If you are a client with United Behavioral Health mental health benefits, the insurance company is requiring you to complete this form and bring it with you to your first appointment. (This is in addition to the forms for Midwest Christian Counseling Center).