The forms below are to be completed before your first session with one of our counselors.  You can download/print these and complete them prior to your first appointment to expedite the process.

Family Information Packet
Explains policies and procedures of The Amelia Center. Retain for your reference.

The following forms are required for all families:

  1. Exceptions to Privacy  (Microsoft Word version)  (PDF version)
    Complete one form for your family.  Must be signed by the legal guardian of any minors attending counseling.

  2. Family Questionnaire (Microsoft Word version)    (PDF version)
    Complete one form for your family.

  3. Reaction Forms
    Adult Form (Microsoft Word version)  (PDF version)
    One form needs to be completed for each adult attending counseling.  (Including guardians of children
    attending counseling.)

    - Child/Teen Form (Microsoft Word version)  (PDF version)
    One form needs to be completed for each child or teen attending counseling.

2017 Baby Steps Memorial 5K Application

For Existing Clients

Click here to submit your Message of Hope.

Men & Women Grieve Differently
Click Here for the latest article by Robert Smith, MA, LPC. It is featured in the March/April...
Baby Steps Walk Featured on Matters of Faith
ABC 33/40 Matters of Faith features The Amelia Center covering the Aug. 29th Baby Steps Memorial...
New Opportunity- Remembrance Funds
We Remember Them... Annual Remembrance Fund  A Remembrance Fund, bearing the name of a...
New Group for Parenting a Grieving Child or Teen
Knowledge, Discipline and Communication: A Practical Approach to Parenting a Grieving Child ...
A Hopeful Heart Audiobook Discussion
New Start Date: September 10th A Discussion of John Claypool's A Hopeful Heart. This group is...

Copyright ©1996 - 2017 The Amelia Center 1513 4th Avenue South, Birmingham, AL 35233 (205) 638-7481