Forms and Consents
Sign your forms online in the client portal, or read and download any of them here.
Three Ways to Sign
Bringing your signed forms to either office is the way we prefer: our front desk can check them with you there and then. If that isn't easy, the client portal needs no printer at all.
Bring them to either officeBest way
Print them, sign them at home, and bring them in — to your appointment, or any time we are open. Our front desk will go through them with you and answer anything you are unsure about. This is the way we prefer.
- Avondale Office: 919 N Dysart Rd, Suite F, Avondale, AZ 85323
- Phoenix Office: 11225 N 28th Dr, Suite C-206, Phoenix, AZ 85029
- Mon–Fri, 9am–5pm
Sign online in the client portal
Nothing to print and nothing to scan. You read each form on screen, sign it there, and it reaches your record straight away — no journey and no post.
Open the client portalPost them to us
If it is easier to mail them, print and sign them and send them to our mailing address. Allow a few days for the post.
Where to send them
Please don't email a signed form back to us. Email isn't secure, and a signed consent carries your name and health information. Use the portal, bring it in, or post it instead.
Consent Packets
New Client Packet
The forms a new client signs, before or at the first appointment. They cover what you are agreeing to, what therapy involves, and our policies on appointments and conduct.
- Consent for Treatment
- Therapy Expectations
- Telehealth Consent
- Attendance and Cancellation Policy
- No Show and Fee Notice
- Incident Agreement
- Advanced Directives Acknowledgement
EnglishPDF, 16 pages, 1.7 MBEspañolPDF, 15 pages, 1.2 MB
Or sign this online in the client portal
The No Show and Fee Notice is not in the Spanish packet yet. Ask us for it and we will go through it with you.
Your Rights and Our Notices
Yours to keep and read. How your information is protected and used, the rights you have in your care, and how to raise a concern. There is nothing to sign here.
- Notice of Privacy Practices
- Client Rights
- Notice of Voice and Choice
- Grievance Procedure
Youth Program
For a child or teen joining Confianza Youth Club: the program agreement, the youth assessment, and the waiver for activities.
- Confianza Youth Community Agreement
- Program Assessment
- Activity Liability Waiver and Release
Other Forms
These are signed one at a time, for a particular reason, so they aren't part of a packet.
Release of Information
Sign one of these when you want us to share information with someone outside Confianza Health — a doctor, a school, a court, a family member. You sign a separate one for each person or organization, and you can cancel it at any time.
Social Determinants of Health
Questions about housing, food, transportation, safety and the other things outside the therapy room that affect how you are doing.
Safety Plan
A plan for getting through a hard moment, usually filled in with your clinician: your own warning signs, the people you can reach, and the numbers to call.
Or sign this online in the client portal
This one is only in English so far. Ask us and we will go through it with you in Spanish.
Where to Send a Signed Form
This is a mailing address only, not an office you can visit. To hand a form to someone, bring it to the Avondale or Phoenix office.
You May Not Need to Print Anything
Every form on this page can be signed in the client portal instead: you read it on screen, sign it there, and it goes straight into your record. No printer, no stamp, and nothing to bring to your appointment.
