We Offer Telehealth Services via Video Conferencing

Journey 4 Hope Counseling Center
Journey 4 Hope Counseling Center
  • Home
  • About Us
  • Our Staff
  • FORMS
  • FAQS
  • More
    • Home
    • About Us
    • Our Staff
    • FORMS
    • FAQS
  • Home
  • About Us
  • Our Staff
  • FORMS
  • FAQS

FORMS

Below are required consents and notices for your review that new and active clients are provided before and during the course of treatment. New clients must call to schedule their first appointment. Forms can be completed and applicable documents can be uploaded to our client portal. For those using our client portal, you will be emailed a link with instructions for logging in as an active client and completing intake documents (no need to download forms below). All intake forms and documents must be completed and submitted before your first appointment. If you have any questions, feel free to email or call J4H. 

J4H Consent for Treatment (pdf)

Download

J4H Rights and Responsibilities (pdf)

Download

J4H TeleMental Health Consent Form (pdf)

Download

J4H HIPAA Notice of Privacy Practices (pdf)

Download

J4H No Surprise Act Notice (pdf)

Download

J4H Release of Information Consent (pdf)

Download

Active Clients may access the Client Portal features. New Clients can only see available appointments, but must call to schedule first appointment. 

Client Portal

Copyright © 2023 Journey 4 Hope Counseling Center - All Rights Reserved.

Powered by GoDaddy Website Builder

Announcement

We are offering professional counseling via telehealth services by video. Get the support you need and experience the benefits of telehealth therapy. 

Learn more