Forms

Client Information Form

Your responses will help us determine the best course of treatment.

Intake Form For Children

Parent/Guardian to complete for young children.

Emotional Needs Form

Evaluate your spouse’s effectiveness in meeting your needs.

Teletherapy Consent Form

To participate in phone or video sessions.

Consent Form for In-Office Counseling Sessions

To participate in counseling sessions in one of our physical office locations.

Psychotherapy Services Agreement and HIPAA Privacy Practices

Click below to read our Psychotherapy Services Agreement and HIPAA Privacy Practices

Good Faith Estimate Form

No Surprises Act.

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