Client Intake Packet
(print and complete)
Insurance Information and Treatment Policies
(please review and sign forms in intake packet to acknowledge receipt and understanding)
Parent/Guardian Consent
(read only- for parents/guardians of clients under 18)
Release of Information
(print and complete)
Telehealth Consent*
(print and complete - *for telehealth clients only)

© 2019 Kim Keys, PLLC


Tel: 208-991-4696    Fax:  208-902-3728

3050 N. LakeHarbor Ln #248

Boise ID. 83703

Keys Counseling Solutions, Boise ID

Kim Keys, PLLC


Boise counselors, LGBTQ Ally