Counseling

• Adult Counseling
• Child and Adolescent Counseling
• Jewish Family Life Education (JFLE)
• Domestic Abuse Program (Project S.A.R.A.H.)
• Vocational Program

New Client Registration Form

For all new clients who have scheduled their first appointment, please print and complete the form below and bring to your first office visit.  If you are unable to complete this form in advance, please plan to arrive at least 15 minutes prior to your first appointment. 

New Client Registration Form in Adobe Acrobat (PDF) format. 

If you have any questions related to a particular section of this form, feel free to ask when you sign in on the day of your first appointment.

In addition to the completed form, please also bring your insurance card (if applicable) to your appointment.  We will make a copy to include in your file. 

H1N1 Policies and Procedures

Generally, JFCS requires at least 24-hours notice for the cancellation of an appointment.  Appointments canceled with less than 24-hours notice are subject to a cancellation fee.  However, if you are experiencing influenza-like symptoms, your appointment may be canceled with less than 24-hours notice and will not be subject to the cancellation fee.

JFCS H1N1 Policies and Procedures in Adobe Acrobat (PDF) format.

• Everyone is encouraged to get vaccinated for seasonal influenza.  For information on groups prioritized for seasonal influenza vaccines, please click here.