Childhood Sexual Abuse Information Forms

 

These forms work hand in hand with the article posted by TWH titled "How To Talk With Your Children About Sexual Abuse." Please read the article so you will know how best to utilize these forms. If you have any questions, don't hesitate to email us at dpittman@together-we-heal.org.

 

Childhood Sexual Abuse Information Form with Contact Numbers

 

Childhood Sexual Abuse Information Form without Contact Numbers

Together We Heal (TWH) and its no-fee mental health counseling services follows a strict confidentiality policy. Your written permission will be required to release information to other parties (i.e. spouse, family members, or outside institutions). In an effort to maintain professional standards, your counselor may discuss specifics of your situation with other mental health professionals as part of TWH consultation to ensure that appropriate services are provided to you.