Downloadable Counseling Forms |
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Keep in mind that it is best to arrive about 15 minutes prior to your first scheduled appointment in order to fill out required paperwork. Please feel free to download* the following forms prior to your first visit to expedite the intake process. |
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| Intake/Admission Form | Basic contact and biographical information. |
| Informed Consent | General information about therapy including potential benefits, risks, expectations, goals, therapist training, etc. |
| Privacy Practices | Required under federal law, this form explains my responsibilities and duties to protect your healthcare information, as well as your right to confidentiality. |
| Client Rights | Statement outlining your basic rights as a client in therapy. |
| Healthcare/Professional Provider Information Release | Use this form if you would like for me to exchange information with other healthcare providers, attorneys, etc. |
| General Confidential Information Release | Use this form if there are friends, family, etc who you think might be helpful for me to contact regarding you and your care. |
| Privacy Practices Acknowledgement Form | Acknowledgement that you have received your Privacy Practices statement. |
| Make note that in order to utilize this feature you must have appropriate software that reads PDF files installed on a computer connected to a printer. | |