Forms

Bruce Punches, M.A., M.A., L.P.C., B.C.P.C.

Licensed Professional Counselor

Board Certified Professional Counselor

(616) 450-9560

[email protected]

Calder Plaza Building 250 Monroe Ave. NW 4th Floor Grand Rapids, MI 49503

(Across from the DeVos Performance Hall)

If you're a new client, please complete the following forms and bring them to your first therapy session.

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Note: To download Adobe Acrobat Reader for free, Click here.

Contact Us

We look forward to hearing from you