FORMS
Here are the forms you need to fill out before we meet for an individual session. Please complete the Client Intake Information Form and bring it with you to our first meeting. The HIPAA acknowledgment form also needs to be filled out but it needs to be signed at the office. If you are coming for couple counseling please fill out one client intake form for each partner (things that are the same such as addresses, just put 'same'). Also, each partner must sign a separate HIPAA Acknowledgment Form.
Below are my Office Policies, HIPAA Notice, and Records Management Information. These are made available for your information only. They do NOT need to be brought to the office. When you sign your acknowledgement on the intake form and the special form for HIPAA, you have stated that these forms have been made available to you and that you have read and understood them.
The following is the agreement form for participating in one of the classes. It does not need to be filled out unless you are signed up for a class. For more about classes, see the Services and Specialties section of this website:
Thank you for taking the time to complete this paperwork ahead of time. I look forward to meeting with you!
Here are the forms you need to fill out before we meet for an individual session. Please complete the Client Intake Information Form and bring it with you to our first meeting. The HIPAA acknowledgment form also needs to be filled out but it needs to be signed at the office. If you are coming for couple counseling please fill out one client intake form for each partner (things that are the same such as addresses, just put 'same'). Also, each partner must sign a separate HIPAA Acknowledgment Form.
Below are my Office Policies, HIPAA Notice, and Records Management Information. These are made available for your information only. They do NOT need to be brought to the office. When you sign your acknowledgement on the intake form and the special form for HIPAA, you have stated that these forms have been made available to you and that you have read and understood them.
The following is the agreement form for participating in one of the classes. It does not need to be filled out unless you are signed up for a class. For more about classes, see the Services and Specialties section of this website:
Thank you for taking the time to complete this paperwork ahead of time. I look forward to meeting with you!