Forms can be downloaded, completed, scanned, and returned.  Electronic forms can additionally be downloaded and completed without printing by using PDF software such as Adobe Acrobat Reader.

For a free download of Adobe Acrobat Reader CLICK HERE

New Client Packet for Counseling Services (Electronic Version)

Telehealth Informed Consent (Electronic Version)

New Client Packet for Counseling Services

Telehealth Informed Consent

Life Coaching Session Orientation

Easy Pay Informed Consent

Authorization to Release Info

Important Phone Numbers

Client Services Agreement

Policies and Practices to Protect the Privacy of PHI



If your computer or network prevents you from downloading documents at these links please make requests through the contact form at the Contact page.

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Safe Space
115 Pershing Road, Columbia, MO 65203 Phone: 260.225.3872