For your convenience you can print and complete them prior to your first visit. You can also complete them online and I will have your information in advance. Any information submitted using online forms is transmitted securely and held in the strictest of confidence, protecting your privacy.
- Client Information
- Release for insurance – If you decide to use your health plan for counseling services.
- Informed consent
- Policies and Fees
- Payment Information and Credit Card Information
- Consent to release or receive information – school staff, primary care, emergency contact, psychiatrist, former therapist, other.
For your reference:
Notice of Practice