Clients
If you need to download any of our forms, please click on the name of the form you wish to download. As a result, a PDF document will be downloaded to your computer, then you may print it, fill it out and bring it with you.
If you need to go back to your secured client portal, please click on the link next to the name of your counselor.
For Dr. Georgina Panting: https://eirenecounselingservices.secure-client-area.com
For Dr. Javier Sierra: https://drjsierra.secure-client-area.com/portal/register/
For Christi Polk, MA: https://ChristiPolk.secure-client-area.com
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ECS-Client Information Sheet
(131K) -
ECS-HIPAA 2011-1
(83K) -
ECS-Informed consent
(75K)