Oak Creek Relational Counseling Center
  • Home
  • Meet Our Therapists
    • Patty Filomeo She/Her (Associate)
    • Catherine Carr She/Her (Associate)
    • Justin Hupalo He/Him (Associate)
    • Rodrigo Sanchez He/Him (Associate)
    • Sara Mauricio She/Her (Associate)
    • Keenan Nelson-Barer He/Him (Associate)
    • Sarah Lincoln She/Her (Counselor)
    • Francis Toal (Associate)
    • Samantha Forman (Trainee)
    • Sydney Lecounte (Trainee)
    • Victoria Lecounte (Trainee)
    • Dawn Petttey(Trainee)
  • About OCRC
  • Take a Tour
  • Contact Us
    • Clinical Internships
    • Becoming a Trainee
    • Becoming an Associate
  • Donate
  • Forms
    • Individual Intake Forms
    • Couples Intake Forms
    • Minors Intake Forms
    • Formularios para pacientes
    • Additional Forms
    • CBT Homework Packs
  • Home
  • Meet Our Therapists
    • Patty Filomeo She/Her (Associate)
    • Catherine Carr She/Her (Associate)
    • Justin Hupalo He/Him (Associate)
    • Rodrigo Sanchez He/Him (Associate)
    • Sara Mauricio She/Her (Associate)
    • Keenan Nelson-Barer He/Him (Associate)
    • Sarah Lincoln She/Her (Counselor)
    • Francis Toal (Associate)
    • Samantha Forman (Trainee)
    • Sydney Lecounte (Trainee)
    • Victoria Lecounte (Trainee)
    • Dawn Petttey(Trainee)
  • About OCRC
  • Take a Tour
  • Contact Us
    • Clinical Internships
    • Becoming a Trainee
    • Becoming an Associate
  • Donate
  • Forms
    • Individual Intake Forms
    • Couples Intake Forms
    • Minors Intake Forms
    • Formularios para pacientes
    • Additional Forms
    • CBT Homework Packs








Individual Intake Forms

Please review complete and return all forms below:

Client Intake Form
File Size: 109 kb
File Type: pdf
Download File

Client Informed Consent
File Size: 64 kb
File Type: pdf
Download File

Client Informed Consent Counselor
File Size: 55 kb
File Type: pdf
Download File

Covid 19 Release of Liability
File Size: 41 kb
File Type: pdf
Download File

Telehealth Consent Form
File Size: 21 kb
File Type: pdf
Download File

CAMFT Notice of Privacy
File Size: 43 kb
File Type: pdf
Download File

CAMFT Acknowledgment of Receipt Privacy
File Size: 85 kb
File Type: pdf
Download File

 Our therapists place a high value on the dignity and worth of all people. We embrace the richness brought by identities and expressions at the intersections of ethnicity, race, nationality, sexual/affectional orientation, gender, size, age, physical and mental abilities, religion/spirituality, socioeconomic status, and immigration status. We also recognize the immense impact that systemic racism and oppression have on mental health and well-being. In this spirit, we strive to foster cultural humility through ongoing training and professional development.  


Hours

Hours by Appointment
Administrator: Patty Filomeo

Telephone

888-637-7404
925-822-5937
Email

info@oakcreekcounseling.org
Pfilomeo@oakcreekcounseling.org
Photo used under Creative Commons from edenpictures