7441 O St #300
Lincoln, NE 68510
Select the appropriate questionnaire for your situation.
Print if you are the only person attending counseling.
Pre-Counseling Questionnare for IndividualsPrint if you are seeking help as a couple.
Print this form twice... one for each person.
To be completed by child:
Adolescent Questionnaire
To be completed by parent:
Pre-Counseling Questionnaire for Adolescent
To be completed by parent:
Pre-Counseling Questionnaire for child
If you would like us to talk with someone outside of our office about your case.
Release of Information.pdf
Submit all paperwork to our office.
If time allows, please send before you come. Typically 3 days lead time is required.
If mailing won't get the forms to us before your appointment, please just bring all paperwork with you.
Copyright 2015. Lincoln Counseling and Enrichment Associates. All Rights Reserved.