Nicole Rojas - Trinity Counseling
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These forms are in Adobe Acrobat PDF format.
They can be viewed and printed by most browsers even on phones and tablets.
Or you can click here to download a program.

If you are an adult who wants to be seen on your own, please fill this out and bring with you on our initial appointment.
adult_intake_form.pdf
File Size: 68 kb
File Type: pdf
Download File


If you are under 18 and want to be seen on your own, please fill this out and bring with you on our initial appointment.
child_intake_form.pdf
File Size: 77 kb
File Type: pdf
Download File


If you are a couple who want to be seen together, each person please fill this out your own copy of this form and bring them with you on our initial appointment.
couple_intake_form.pdf
File Size: 69 kb
File Type: pdf
Download File


Copyright © 2015-2019

816-200-2532 
​Nicole@TrinityCounselingKC.com

Serving Kansas City, MO

North of the river
  • Home
  • Online
  • More Information
    • Me
    • FAQ
    • Locations
    • Pricing
    • Forms
  • Workshops
    • Teen Group
    • Holiday Stress
    • Healthy Relationships
    • Current Events De-Stress Workshop
  • Contact
  • Blog
  • Resources
    • Domestic Violence