Client Forms
-
Forms for Medicaid Clients
This section includes forms for all medicaid funded services. -
Forms for non-Medicaid Clients
This section includes forms for all adult clients seeking counseling services, and for any children or adolescents who do not have medicaid insurance. -
Affinity Counseling Center Referral Form
(45K)Referral form to request services for schools, DFCS, and other providers.