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.

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. 

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).  

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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

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