Live Life Healthy
  • Welcome
  • Counselor
  • Services and Insurances
  • TeleHealth and Wellness Services
  • Contact us
  • Forms and Confidentiality
  • Welcome
  • Counselor
  • Services and Insurances
  • TeleHealth and Wellness Services
  • Contact us
  • Forms and Confidentiality
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YOUR CART

RELAX

Happiness is a way of travel, not a destination. ​Relax, enjoy the ride - Anonymous   
Forms for Your First Session

To help us get started smoothly, please print and complete the necessary forms before your first session. Don’t worry if you have any questions or run into difficulties—your therapist will be happy to guide you and answer any questions during your appointment.

​Thank you for taking this step toward your well-being—we look forward to supporting you on your journey!
bcs_adult_new_client_form_2.docx
File Size: 24 kb
File Type: docx
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bcs_child_new_client_form.docx
File Size: 34 kb
File Type: docx
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telehealth_services.docx
File Size: 30 kb
File Type: docx
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bcsrelease1.doc
File Size: 37 kb
File Type: doc
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bcsservicepolicies2.docx
File Size: 29 kb
File Type: docx
Download File

07_-_confidential_channel_comm2.doc
File Size: 37 kb
File Type: doc
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10_-_notice_of_privacy_practices.doc
File Size: 81 kb
File Type: doc
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wellness_questionaire.doc
File Size: 30 kb
File Type: doc
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bcssafetyplan.doc
File Size: 35 kb
File Type: doc
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​​Confidentiality

At Borst Counseling Services (BCS), protecting your privacy is a top priority. Confidentiality is essential to building a trusting counseling relationship with children, adolescents, and adults. Information you share with your therapist is held in the highest confidence and will not be released to anyone without your written consent, except as required by law.

​State law mandates certain exceptions, including:
  • Suspected abuse of a child, elderly person, or dependent adult
  • Situations where a person poses a serious and imminent risk of harm to themselves or others
  • Information requested through a valid court order

Additionally, some insurance providers may require limited disclosure, such as diagnosis, treatment summary, or presenting symptoms, for billing or authorization purposes. Your therapist may also consult with professional colleagues for supervision, consultation, or care coordination.

These exceptions are the only circumstances in which confidentiality may be limited. Otherwise, all information shared in therapy remains strictly confidential.
​

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