Please let me know if you have any questions at all.
To learn about different ways to return the completed forms to me in a secure/private manner…
Go to: Returning Completed Forms
NOTE: Regular e-mail is not secure and I cannot guarantee your privacy on it’s internet travels between you pushing “send” and it arriving in my inbox. Once it is in my possession, I will keep it private from that point forward.
- Crisis Resources (What to do if you are having an emergency when you are my client)
- Intake Document Summary (for those of you who aren’t into the “fine print”)
- Signature Page for: Consent to Treatment/Financial Policy/Communication Policy/HIPAA (print & sign)
- Consent to Treatment (for your review, print if you want a copy)
- Financial Policy (for your review, print if you want a copy)
- Communication Policy (for your review, print if you want a copy)
- HIPAA Policy (for your review, print if you want a copy)
- COVID-19 In-Office Policy (for your review, print if you want a copy ONLY if you are coming into the office for sessions)
- Client Information Sheet (print and complete version OR save form and send version)
- Background Screening (print and complete one of the two below)
- Developmental Screening (print and complete if client is under 18)
- Self-Report (print and complete one of the two below, unless client is under 12)