Charlotte Counseling Associates

Addiction Specialist, Pornography Addiction, Sex addiction, David Sanchez

 (980)224-3233   admin@charlottecounselors.com
  • Home
  • About
    • Jasmine Colegrove, LCSW, EMDR Trained Therapist
    • Robert McGuire, LCMHC, CSAT-C, EMDR-Trained, EFT-Trained
    • David Sanchez, LCMHC, CSAT, EMDR-Trained, Brainspotting Phase II Trained
    • Courtney Cooper, LCSW
  • Specialties
    • Anxiety Counseling
      • Depression Counseling
    • Trauma/PTSD Counseling
      • Trauma/PTSD Counseling
      • Brainspotting
      • EMDR
    • Betrayed Partner’s Therapy
    • Sex Addiction Therapy
      • Am I a Sex Addict?
      • Sex Addiction Groups
        • Sexual Recovery Group
      • Sex Addiction and Compulsivity
      • Pornography Addiction
    • Men’s Assertiveness
      • Men’s Assertiveness Group
    • Teen/Adolescent Counseling
  • Treatment
    • Office-based or Online Tele-Therapy and Phone Counseling
    • Individual Counseling
    • Couples Therapy
    • Family Therapy
    • Group Therapy
      • Men’s Assertiveness Group
      • Sex Addiction Groups
  • Blog
  • FAQs
    • New Patient Forms
    • Rates and Insurance
    • Resources
  • Get Started

New Patient Forms

Welcome, New Patients! We are looking forward to meeting you.

Schedule Appointment

(980) 224-3233

Preparing for Your Initial Appointment

Please understand that on your initial appointment at the office we will require some basic forms to be filled out by you. This process should take approximately 15 minutes prior to your appointment. We ask that you bring your driver’s license or identification and your insurance card, if applicable, on your first visit.

*Here are the forms you will need on your first appointment: Please  print out the specific registration form and specific professional disclosure form out and complete them to make the initial appointment check-in process quicker and easier for you.  Please print both of these forms depending on the therapist that you will meet with:

David Sanchez, LCMHC, CSAT, EMDR Trained Therapist, Brainspotting Phase II Therapist

  • Adult Registration ages 18 and up
  • Professional Disclosure Statement D.Sanchez 2020

Robert McGuire, LCMHC, EMDR Trained Therapist.

  • C2 Associates adult client paper work (18-over) 2019 Robert M
  • C2 Associates adolescent paper work (13-17)–Robert McGuire 2019
  • Robert McGuire, LPC Personal Disclosure 2019

Jasmine Colegrove, LCSW

  • C2 Associates adult client paper work 2020 Jasmine Colegrove (1)
  • C2 Associates adolescent paper work–Jasmine Colegrove2020 (1)
  • Professional Disclosure Statement J.Colegrove 2020

Authorization for Release of Information Form

This next form may be needed from time to time in order to allow us to release information to parties that you might want us to. Please understand we respect your privacy with the utmost seriousness, and desire to strongly protect your private health care information. We will release information by your request, even in that instance we do so judiciously.

  • Authorization for Release of Information (David Sanchez)
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