Client Forms

The following online client forms can be filled out and signed (electronically).  Information you submit on the form is private and encrypted for protection.

Please only submit forms that are requested by Cranberry Counseling PC.


New Client Registration


Fill Online

(Only if requested by Cranberry Counseling PC)


New Client Registration - VRx Lab

Fill Online

(Only if requested by Cranberry Counseling PC)


Consent for Treatment - Child

Fill Online

(Only if requested by Cranberry Counseling PC)


Consent for Treatment - Adult

Fill Online

(Only if requested by Cranberry Counseling PC)


Consent for VRx Treatment - Insurance

Fill Online

(Only if requested by Cranberry Counseling PC)


Consent for VRx Treatment - Self Pay

Fill Online

(Only if requested by Cranberry Counseling PC)


Request for Information - Child

Fill Online

(Only if requested by Cranberry Counseling PC)


Request for Information - Adult

Fill Online

(Only if requested by Cranberry Counseling PC)


Request for Information - VRx Lab

Fill Online

(Only if requested by Cranberry Counseling PC)


HIPAA Privacy Statement

Fill Online

(Only if requested by Cranberry Counseling PC)