Forms

Please take the time to fill out the following forms, this will help us make better use of your time during your first session. Each person involved in counseling should fill out the forms individually.

Client Intake Form

Informed Consent

Self Assessment

HIPAA Compliance Form

Insurance Form (You only need to fill this out if you think your insurance will cover counseling)
        - If you are doing couple's counseling, it is likely that your insurance will not cover the fee.  
          Please contact your insurance company to see if couple's counseling is covered.

Credit Card Authorization (If you intend to have your therapist charge your credit card as payment)