Family Counseling Center
Creating an Affordable Path to Lifelong Mental Health
*Address: 1347 Grant Street Red Bluff, CA 96080  *Phone: 530-527-6702  *Email: info@fccredbluff.com
Our original location: Address: 1347 Grant Street Red Bluff, CA 96080 Our newest location 1112 Washington Street, Red Bluff Our Corning office 125 Solano Street, Corning  

FORMS

Below are the forms for new clients to fill out. Here is a copy of our Privacy Practices Disclosure: Privacy Practices   These forms are required for all clients: Client Information Medical History If the person coming in for couseling is a minor, please print out and sign this form: Minor Client Consent If you are seeing Hillary, Mary, Jaye, or Janet, print and sign this form: Informed Consent, Licensed If you are seeing Jovita, Beverly, Matt or Ariel, print and sign this form: Informed Consent, Intern   If you are seeing a Trainee, print and sign this form: Informed Consent, Trainee   If you are going to be using a primary insurance, print and sign this form: Insurance Release   If you are on our sliding fee scale, please print and fill out this form: Income Verification
CONTACT US AT ANY OF OUR 3 LOCATIONS
Our original location: Address: 1347 Grant Street Red Bluff, CA 96080 Our newest location 1112 Washington Street, Red Bluff Our Corning office 125 Solano Street, Corning  
Phone: 530-527-6702  Email: info@fccredbluff.com Developed by MNS WebDesigns
CONTACT US AT ANY OF OUR 3 LOCATIONS
Family Counseling Center
*Address: 1347 Grant Street Red Bluff, CA 96080  *Phone: 530-527-6702  *Email: info@fccredbluff.com

FORMS

Below are the forms for new clients to fill out. Here is a copy of our Privacy Practices Disclosure: Privacy Practices   These forms are required for all clients: Client Information Medical History If the person coming in for couseling is a minor, please print out and sign this form: Minor Client Consent If you are seeing Hillary, Mary, Jaye, or Janet, print and sign this form: Informed Consent, Licensed If you are seeing Jovita, Beverly, Matt or Ariel, print and sign this form: Informed Consent, Intern   If you are seeing a Trainee, print and sign this form: Informed Consent, Trainee   If you are going to be using a primary insurance, print and sign this form: Insurance Release   If you are on our sliding fee scale, please print and fill out this form: Income Verification