Thank you for choosing Choices in Counseling with Dorian Angebrandt, LCSW!
If you were directed to this section of our web site you should have already set up an initial appointment with Dorian Angebrandt, LCSW. If you have not yet spoken to someone re: an appointment with Dorian, please contact the office at (317) 346-6252 before continuing with the enrollment process below.
Please download and print the appropriate forms indicated below to bring to your first appointment:
New Child/Adolescent Clients: (Forms 2,3,5,6,7)
#2: Client Rights Declaration (This is for your records)
#3: Child Registration Packet
#5 Addictions History Form (Complete if there is a history of drug, alcohol or other addictions)
#6 Release of Information (Complete for Primary Care Physician to coordinate services)
#7 Consent for Companion Dog Therapy (Complete to Accept or Deny CDT as part of your counseling)
Please Note: For family counseling only (1) Child Registration Packet needs to be completed for the primary child receiving counseling.
#2: Client Rights Declaration (This is for your records)
#3: Child Registration Packet
#5 Addictions History Form (Complete if there is a history of drug, alcohol or other addictions)
#6 Release of Information (Complete for Primary Care Physician to coordinate services)
#7 Consent for Companion Dog Therapy (Complete to Accept or Deny CDT as part of your counseling)
Please Note: For family counseling only (1) Child Registration Packet needs to be completed for the primary child receiving counseling.
New Adult Clients: (Forms 2,4,5,6,7)
#2: Client Rights Declaration (This is for your records)
#3: Adult Registration Packet
#5 Addictions History Form (Complete if there is a history of drug, alcohol or other addictions)
#6 Release of Information (Complete for Primary Care Physician to coordinate services)
#7 Consent for Companion Dog Therapy (Complete to Accept or Deny CDT as part of your counseling)
Please Note: For couples counseling, please complete (1) Adult Registration Packet for each adult participating in counseling.
#2: Client Rights Declaration (This is for your records)
#3: Adult Registration Packet
#5 Addictions History Form (Complete if there is a history of drug, alcohol or other addictions)
#6 Release of Information (Complete for Primary Care Physician to coordinate services)
#7 Consent for Companion Dog Therapy (Complete to Accept or Deny CDT as part of your counseling)
Please Note: For couples counseling, please complete (1) Adult Registration Packet for each adult participating in counseling.
This general client registration, insurance registration, and personal history form is part of our initial documentation that we ask for you to complete prior to our first session together. Please complete the packet as completely and accurately as possible and plan to bring the completed packet along with your insurance card to your child’s first appointment.
This general client registration, insurance registration, and personal history form is part of our initial documentation that we ask for you to complete prior to our first session together. Please complete the packet as completely and accurately as possible and plan bring the completed packet along with your insurance card to your first appointment.
This form is intended to be used by individuals and/or couples and family engaged in therapy services with Dorian Angebrandt, LCSW wishing to participate in Companion Dog Therapy with Dorian and Sadie. This form must be completed by all clients that wish to interact with Sadie at Choices in Counseling. Additional information about Sadie and our canine therapy companion program can be found on Sadie's profile page.
Find out more about Choices in Counseling and what we can do to help you and your family improve your view of the future. Continue to explore our web site by using the menu bar above or by clicking on any of the links below:
Call Choices in Counseling today at (317) 346-6252 with any questions you may have. We look forward to working with you.