electronic forms

Submit forms to your therapist confidentially with the below links:

Outpatient Services Contract

IHC Notice of Privacy Practices

Authorization to Release Confidential Information

Telehealth Consent Form

Printable client Forms

Mail or bring the below forms to your therapy appointment if you do not prefer electronic submission:

Ivory Howell, LPCC Outpatient Contract & Notice of Privacy Practices

Authorization to Release Confidential Information

Telehealth Consent Form