SpringLife Forms

The forms below will be useful in facilitating your counseling process at SpringLife:

Dr. Putnam Fee Info and Intake Packet
Each adult who will participate in the counseling process should print and fill out this form prior to to their first appointment. 

What About Insurance?
In some cases your health insurance might include benefits for counseling.  Click on this form to learn about how insurance coverage works at SpringLife, and about what specific questions you should ask your insurance company to determine your coverage.

Dr. Putnam Authorization to Release Confidential Information
Sometimes it is beneficial for Dr. Putnam to speak with your physician, psychiatrist, pastor, family member, previous counselor, or another significant individual to assist in the counseling process.  This is always done only with the client’s written permission using this form.

Procedures for Assessment