Please return all forms via CLIENT PORTAL before Appointment

Therapy Forms

  • CLIENT FORMS

    Therapist will Email you a set of forms from your client portal to fill out and return. Please complete these forms prior to your appointment. If you have any questions, please reach out to Regina @ 270-735-2626 (call or text) or reginahancock@tranquilityspringsccs.com

  • Informed Consent

    Please read but you will receive from the client portal to sign and return.

  • Privacy Practices

    Please read

How you’ll feel

more confident and clearheaded with increased energy and deeper sleep

Supervision Forms

  • Supervision Contract

    Please complete the following supervision contract for KY LPCA supervision. You will upload this when you receive your information sheet from the client portal.

  • Hours Log

    You can use this Log to keep track of your hours. You may keep track of your hours how you see fit this is just one resource. You will need to bring your hours with you each week and have a total for the Supervisor to keep track of.

  • Disclosure sheet

    This must be posted in your office for clients to see. Please add your information.