Patient Forms

Thank you for choosing Riverside Counseling Center. All forms are available as PDFs to download and complete. Some of the forms are available as digital forms through HelloSign©.

For Online Documents: Click the Complete Online button to complete it on mobile or desktop. We will receive your form once you click submit.

For PDF Documents: Download the pdf version of the form and complete yourself, scan, and submit to frontdesk@riversidecounseling.net

Please only submit paperwork once you have an appointment. Thanks!

Are You A New Patient?

We have bundled all necessary New Patient paperwork below. Complete online, or download a PDF to email.

ADULT New Patient Paperwork
Complete Online
Or Download PDF

MINOR New Patient Paperwork
Complete Online
Or Download PDF

Other Helpful Forms

Telehealth Consent Form   Complete Online / PDF
COVID19 Consent Form   Complete OnlinePDF
Release of Information   PDF
Missed Appointment Appeal Form PDF
Parent/Guardian Form PDF
Suboxone Form PDF
Medicare Opt Out Form PDF

For PDFs, please download, complete and email to frontdesk@riversidecounseling.net