Choice Counseling Services, LLC
Choice Counseling Services, LLC 

Client Forms

As a new client, you will need to fill out several forms before we can begin. I have provide the most important documents as downloads right here on the website.


All forms are also available at the practice; however, filling them out in advance saves time.

If you are unsure which forms to fill out, don't hesitate to
contact me.

Client Intake
Client Intake Form CC.pdf
Adobe Acrobat document [140.8 KB]
Client Informed Consent
Client Informed Consent.pdf
Adobe Acrobat document [159.6 KB]
Telehealth Consent
CCS Telehealthconsent .pdf
Adobe Acrobat document [294.7 KB]
Couples Informed Consent
Couples informed consent .pdf
Adobe Acrobat document [113.7 KB]
Child Questionnaire For Parents
Child Questionnaire For Parents.pdf
Adobe Acrobat document [118.3 KB]
Teen Assessment by Parents
Teen assessment by Parents.pdf
Adobe Acrobat document [118.5 KB]

Where to Find Me

Choice Counseling Services, LLC

8414 E Shea Blvd, Suite 102

Scottsdale, AZ 85260 


Office Phone: 480-848-1007




Or use my contact form






verified by Psychology Today
Jerri Shields, LPC verified by

New client? Save time and reduce the amount of paperwork you have to fill out at your first visit. PDF downloads are provided for you on this site client forms .

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