This is a standard intake form. It will ask for your demographics, and a few questions about the concern(s) that are bringing you to see a counselor.
This is a thorough consent document. It outlines policies and procedures, my privacy practices, and the potential risks and benefits of counseling. Please read it carefully!
Notice of Privacy Policies
The HIPAA Privacy Rule requires health plans and covered health care providers to develop and distribute a notice that provides a clear, user friendly explanation of individuals rights with respect to their personal health information and the privacy practices of health plans and health care providers.
Credit/Debit Card Authorization Form
Handouts & Worksheets
Note: To download Adobe Acrobat Reader for free, Click Here.