Getting Started


How to Get Started

  1. Open the appropriate set of forms.
  2. Print them on your printer.
  3. Fill them out and sign, and then either fax or mail them back to us at:

    Redeemer Counseling Services
    1359 Broadway, Suite 420
    New York, NY 10018
       -or-
    Fax: (212) 252-0649
  4. Upon receiving your forms, we will assign a counselor to you who will then contact you to schedule your first appointment. All of our counselors do their own scheduling.

Couples' Counseling: If you are seeking couples' counseling (relationship, pre-marital, marital, etc.), please print out 2 intake forms as we need you and your partner to each fill out a form.

Family Counseling: If you are seeking family counseling we need you and each of the family members over 18 years old to fill out and sign an intake form. (If a family member under 18 will be attending and may have an individual session with the counselor, the appropriate intake form for their age needs to be filled out by parent or legal guardian.)


Adults Teens (13-17) Children (3-12)

Adult Intake

(For pre-marital, marital and couples' counseling, one form is needed from each person.)

Form to be filled out by teen:

Adolescent Intake

Forms to be filled out by parent or legal guardian:

Child Intake

Consent for the Treatment of Minors

Forms to be filled out by parent or legal guardian:

Child Intake

Consent for the Treatment of Minors