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River Valley Counseling Center (RVCC) print logo
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Need Help? Central Intake (413) 540-1234

River Valley Counseling Center (RVCC) Home Page

Translate Need Help?
  • Home
  • About Us
    • About RVCC
    • Message from the Director
    • Leadership/Board of Directors
  • Services & Programs
    • View All Services & Programs
    • Outpatient Services
    • Children’s Behavioral Health Initiative
    • CONCERN: EAP
    • HIV/AIDS Project
    • School-based Therapy Services
    • School-based Health Centers
    • College-based Therapy Services
    • A-CRA Program
    • W.I.S.E. Program
    • Project S.O.A.R.
  • Give Now
    • Give Now to RVCC
    • Donations
  • Careers
    • Careers at RVCC
    • Benefits
    • Culture
    • Current Opportunities
    • Employee Videos
  • Pay Bill Here
  • Contact
  • Golf
DocuSign backgound banner

DocuSign

Please pick from the selections below the specific DocuSign Envelope you wish to send.

Note: All forms Automatically go to Med Records after completion.  Any document with CANS authorization will also automatically go to Laurie Darr

Packets - English

Regular Intake

Intake with CANS/ICC

PHI Bundle - 10 Releases

PHI Bundle and PCP Communication Form - 10 Releases

PHI Bundle w/ CANS/ICC - 10 Releases

PHI Bundle w/ CANS/ICC and PCP Communication Form- 10 Releases

SUD Second packet

Packets - Spanish

Regular Intake

Intake with CANS/ICC

PHI Bundle - 10 Releases

PHI Bundle and PCP Communication Form- 10 Releases

PHI Bundle w/ CANS/ICC - 10 Releases

PHI Bundle w/ CANS/ICC and PCP Communication Form- 10 Releases

Individual Forms - English

PHI Release (ROI) - Individual

Attendance Contract

CANS Authorization Form

ICC Evaluation Form

Consent to Treat

Emergency Contacts

Individual Forms - Spanish

PHI Release (ROI)

Attendance Contract

CANS Authorization Form

ICC Evaluation Form

Consent to Treat

Emergency Contacts

TEST ENVELOPES

Test Intake

Test Releases

Admin Offices:
187 High St – 4th Floor
Holyoke, MA 01040

(413) 540-1160

Staff Only

  • DocuSign
  • Supervisors
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  • Newsletter

RVCC logo

For more information or to schedule an intake
413-540-1234

Administrative Offices:
187 High Street 4th Floor
Holyoke, MA 01040

Mailing Address:
PO Box 791
Holyoke, MA 01041

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