CLIENT FORMS

Informed Consent

Consent for Services Document
 

Click on the link above to download my informed consent document. Please print this form and complete it prior to our first session.

RELEASE OF INFORMATION

Authorization to Release Education or Medical Records
 

Click on the link above to download my authorization to release records document. Please print this form and complete it if you would like me to be able to communicate with another medical provider (Example: psychistrist or primary care physician) or institution (school).  

INTAKE 

New Client Questionnaire

Click on the link above to download my client case history document. Please print this form and complete it prior to our first session. 

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A life is like a tree - if you don't make it straight when it's young and green, you'll never do it when it's old and dry.

- Unknown

Time is a tree (this life one leaf) but love is the sky and I am for you just so long and long enough. 

 

- E.E. Cummings 

That person is like a tree planted by streams of water, which yields its fruit in season and whose leaf does not wither— whatever they do prospers.

 

- Psalm 1:3

Family - like branches on a tree, we all grow in different directions, yet our roots remain as one.

- Unknown

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