downloadable
forms
Complete this form when you register as a new client. This form asks for your contact information and other relevent information.
This notice describes how clinical information about you may be used and disclosed and how you can get access to this information.
If you choose to pay for therapy using a third party payer such as a community agency or insurance company, I will typically submit authorization and claim forms directly to them.
It is required by law for me to provide you with this information sheet that outlines what you can expect from therapy, what laws govern counseling as well as my fees and payment schedule.
This form is to be completed by all clients at the start of therapy.
This form applies to couples only and addresses confidentiality boundaries
related to couples seeking counseling.
This form applies to couples only and need to be completed in the early stages of therapy.