Intake Forms
Please note: Do not complete and submit your paperwork until you have an appointment scheduled. Call (615) 824-3772 to schedule an appointment.
Once you have scheduled an appointment with the Babb Center, please complete the intake paperwork prior to your first session by clicking on the appropriate form below. If the client is a minor, and a parenting plan or other legal documentation is in place, copies of these documents must be provided at your first session.
Youth/Children Counseling Intake Forms
Additional Child-Parent/Guardian Agreement
Release of Information Form
Please use this form if you desire to give permission for your counselor to communicate with someone.
Good Faith Estimate & Fee Agreement Form
To comply with the No Surprises Act, a good faith estimate of the cost of receiving services is provided below. Please review this estimate prior to attending your first session. To access the good faith estimate for the services you are scheduled for, please click on your counselor’s name below.
Kay Arnold; Beth Baxter; Joan Bruce; Lindsey Casabella; Lauren Combs; Rhonda D’Imperio; Bethany Diolola; Laura Horton; Chad Hutton; Tori Jarvis; Lorraine Looney; Kimberly McLaurin; Taylor Shacklett; Tara Sweeten; Sarah Beth Van Dyke; Daniel Vaughan; Peter Wilson; Paul Winkler; DeAndrea Witherspoon Nash; Julie Witt; Kasey Woods; Barry Yeiser
Benevolence Form and Resources
Please click here to access the Community Resource Manual. This resource contains over 40 pages of agencies and programs that may be helpful in your journey.
Please use this benevolence form if you are submitting a request for the benevolence committee to consider.
Frequently Asked Questions
Q? What if I have an emergency after hours?
A.
We do not have an emergency call service for after hours. In the case of a true life threatening emergency, call 911 or go to your nearest hospital emergency room. The Crisis Intervention Center for the Nashville area is 615.244.7444.
Q? Are your clinicians licensed?
A.
Some of our clinicians are licensed and some are in the process of becoming licensed. We have Licensed Marriage and Family Therapists (LMFT), Licensed Professional Counselors (LPC), Licensed Clinical Social Worker (LCSW), Licensed Psychologists, Licensed Psychological Examiner, Psychiatric Nurse Practitioners, and a Psychiatrist.
Q? How long is a counseling session?
A.
Sessions range anywhere from 15 minutes to 50 minutes in length.
Q? What age children do you see?
A.
We see children age 3 and up.
Q? I’m divorced, how does this impact counseling for my child?
A.
Typically when there is a divorce, a parenting plan or similar legal documentation is in place that describes who has the authority to agree to treatment for the minor. Copies of these documents must be provided before the minor can be seen to ensure that we are in compliance with the legally mandated order.
Q? Do you have evening hours?
A.
The BabbCenter is available for scheduling in-person sessions based on counselor availability until 6:00pm Monday – Thursday and until 5:00pm on Friday. Sessions at 6:00pm and 7:00pm are available for telehealth only Monday – Thursday.
Q? What if I cannot afford the full fee?
A.
Limited benevolence funds are available to assist with part of the fee.