Please read all of the paperwork on this page before the first appointment.  

 Please fill out the Client Intake Form and the Adult Form online, save as a document on the computer and email to Janell Harvey at [email protected].    Please read the other paperwork.  Please sign and bring in ONLY the Confirmation Page. 

Please bring your insurance card with you to the office so that we may obtain a copy for our records.  Thank you.

PRINT OR EMAIL TO:  [email protected]

Client Intake form

adult information form

READ ONlY

HIPPA Policies

Adolescent information form

confirmation form

Declarations of Procedures and Practices

Cancellation Policy

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Islands Counseling, LLC •  805 Holcomb Boulevard
  Ocean Springs • MS • 39564