Fight for Peace

Client Information Forms

Please download and fill out Forms 1-4. Then, scan and upload them below. If you are filling out the forms for a minor, please fill out Forms 1-5, including the Agreement for Parents Form.
  1. Information for Clients and Consent for Treatment
  2. Client Registration Form
  3. Client Information Form
  4. Adult Checklist of Concerns
  5. Agreement for Parents Form
Please use this secure link to upload your completed documents.


    **This is a strictly confidential patient medical record. Redisclosure or transfer is expressly prohibited by law.