Below are the forms needed for your first counseling visit at Awareness LLC.
Please print and fill out the applicable forms and bring them to your visit.
Please select whichever Agreement applies according to whether or not you will be using insurance. Tri-Care requires insureds to obtain a Letter of Referral form signed by the primary care provider prior to receiving counseling. This applies to all current and former military dependents. Active military members should ask for Form DD2161 at the medical treatment facility on base.