Below are forms to be completed prior to your first session. For new clients, please print the first 3 forms listed here, fill them out, sign and bring them to your first session. I can answer any questions you may have about this during our meeting. If you do not have access to a printer, I will provide you with hard copies. There is be a paperless option coming soon.
Please complete your basic information, such as name, date of birth, insurance info (if applicable) and preferred contact information. It is strictly confidential.
Privacy Notice / HIPAA
This form explains your right to privacy as established by the federal and state specific guidelines under HIPAA. This is needed prior to the first session.
Policies & Guidelines
Explains policies and guidelines in detail. This is an agreement for counseling.
This is used when giving permission to another individual or healthcare provider to communicate about your treatment or see your records. It is entirely up to you to decide if or to whom you would like to give this kind of permission.