Forms

Please download and complete these forms prior to our first session. All of the forms require your review and signature, with the exception of the HIPPA form that requires only your review.

Office Policies

This document answers many questions clients often ask about counseling and psychotherapy and explains procedures, financial policy and the privacy policy. Download PDF

New Client Intake Form

This document captures information about clients in their own words, client history, a client's current situation and counseling goals. For couples or families, please complete one form for each person. Download PDF

Credit Card Authorization Form

For clients who wish to pay by credit card, please complete this form to authorize automatic credit card payments for counseling sessions. Download PDF

Notice of Privacy Practice (HIPPA)

This document explains the rules established as national standards to protect patient health information and patient privacy. Download PDF