




A NEW HEART COUNSELING L.L.C.
A NEW HEART COUNSELING L.L.C.
Working to discover a renewed hope, strength, and heart




Please open appropriate paperwork below, print out, fill in, and bring into the office with you at your appointment.
Adults need:
Biopsychosocial form , General Information, Client Information and Office Policy Statement .
Children/Adolescent:
Child/Adolescent intake, Child/Adolescent behavior form, Parental consent form, Client Information and Office Policy Statement.
The assessments that are necessary should be filled out and the answer sheet brought with you to your first appointment.
**The Counseling Practice of Patti Young and the Professional disclosure statement are yours to keep.**


Biopsychosocial52012.pdf (PDF — 168 KB)
GENERAL INFORMATION.pdf (PDF — 44 KB)
Client Information and Office Policy Statement.doc (DOC — 39 KB)
CHILD ADOLESCENT intake form 1.pdf (PDF — 20 KB)
CHILDREN ADOLESCENT BEHAVIOR FORM.pdf (PDF — 17 KB)
Parental consent form 2.pdf (PDF — 9 KB
PROFESSIONAL DISCLOSURE STATEMENT 1.pdf (PDF — 19 KB)
THE COUNSELING PRACTICE OF PATTI YOUNG.doc (DOC — 34 KB


These assessment tools will be given to you by Patricia Young as needed:

Personal Crisis Inventory.pdf (PDF — 80 KB)

PersonalStyle.pdf (PDF — 24 KB)

Quik Test.pdf (PDF — 65 KB)

Addiction dependency scale.pdf (PDF — 78 KB)

Personal Portrait.pdf (PDF — 16 KB)

Family Potrait.pdf (PDF — 17 KB)

Foundation Assessment.pdf (PDF — 24 KB)

Home Safety Issues.pdf (PDF — 65 KB)

Marriage.pdf (PDF — 82 KB)

Premarital.pdf (PDF — 80 KB)