Please download and print the contents of this page after scheduling your initial couples counseling appointment with your therapist. Please be sure to complete all forms, including signing the HIPAA form on the back page. You may then mail the documents to our office:

Cary Counseling Center

875 Walnut Street Suite 275

Cary, NC 27511

Couples Registration

Couple Service Agreement

Informed Consent

Shared Information Authorization

HIPAA

Please print 2 copies of the Safety & Symptoms form to be filled out by both partners

Safety&Symptoms