Client Resources

We’ve compiled all our forms, surveys, and links for our clients in one convenient place.

Intake Forms

Forms for Counseling and/or Clinical Case Management Services

Application for Counseling and/or Clinical Case Management
Intake Assessment + PHQ-9 + GAD7
Cancellation/No-Show Policy

Form for Sexual Health in Recovery Group

SHiR Group Registration

Forms for Housing Services Only

STRMU Eligibility Packet
ESG Forms
STRMU Renewal Packet
TBRA Eligibility Packet
TBRA Landlord Packet

Intensive Outpatient Program

IOP Orientation Packet
Family Support Group Registration Form

File Upload

Once you have completed your forms, please upload them below.
Make sure your forms are saved with this filename format: “FirstNameLastInitial_FileName”
Ex. JohnD_Consent for Emergency Medical Care

Client Fee Scale & Payment

Fee Scale
Payment Form

Client Surveys

Client Satisfaction Survey (Online) – English
Encuesta de satisfacción del cliente (en linea) – Español
Client Satisfaction Survey
Ryan White Services Survey

Client Complaint Process

Client Compliant Process