Use link below to review client rights.  After your review, fill in your name, and sign the form on-screen to provide informed consent.  Form will be transmitted to Connections Counseling.  Form can be provided to you on paper or electronically at time of service or upon request to 608-233-2100 ext 0 or info@connectionscounseling.com. 

Press button below to review and approve TELEHEALTH informed consent.  After your review, fill in your name, and sign the form on-screen.  Form will be transmitted to Connections Counseling.  Form can be provided to you on paper or electronically at time of service or upon request to 608-233-2100 ext 0 or info@connectionscounseling.com. 

Press button below to review and approve Connections Counseling HIPAA Privacy Practices and provide informed consent.  After your review, fill in your name, and sign the form on-screen.  Form will be transmitted to Connections Counseling.  Form can be provided to you on paper or electronically at time of service or upon request to 608-233-2100 ext 0 or info@connectionscounseling.com.

Please fill out this history completely and honestly to assist your therapist in making your first session as productive as possible.

Complete this form to allow records release to or from Connections and another provider or individual.  Review all fields carefully as this will allow release of your HIPAA protected healthcare information.  Sign when complete.   Completed form will be transmitted to Connections Counseling.  Form can be provided to you on paper or electronically at time of service or upon request to 608-233-2100 ext 0 or info@connectionscounseling.com. 

Complete this form to allow records release to or from the TMS Center of Madison and another provider or individual.  Review all fields carefully as this will allow release of your HIPAA protected healthcare information.  Sign when complete using your mouse or touch screen.   Completed form will be transmitted to TMS Center of Madison.  Form can be provided to you on paper or electronically at time of service or upon request to 608-231-2200 or tms@connectionscounseling.com.