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Forms

The below forms are printable documents for completing records requests and assessments. Our intake and client forms are provided upon initial visits via Mares Cares' Intake portal. Reach out to your provider or call if you have any questions.

Mares Cares Counseling logo of an adult bear holding the hand of a small bear.

Referral Form

Mares Cares Counseling logo of an adult bear holding the hand of a small bear.

Release of Information -

Records Request for Mares Cares Clients

Abstract art painting of a representation of ADHD

Vanderbilt ADHD Assessment-Parent and Teacher Rating Scales - Assessment Instrument

ASQ Suicide Screening Logo "Ask Suicide-Screening Questions.

Suicide Screening (ASQ) Instrument - Recommended by Nationwide Children's Hospital

The Columbia Lighthouse Project logo for suicide screening with the slogan "Identify Risk. Prevent Suicide"

Suicide Risk Assessment (C-SSR) Instrument for Child -Recommended by Nationwide Children's Hospital

The Columbia Lighthouse Project logo for suicide screening with the slogan "Identify Risk. Prevent Suicide."

Suicide Risk Assessment (C-SSR) Instrument for Adult - Recommended by Nationwide Children's Hospital

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