Psychotherapy Documents

Please carefully review and complete by signature each of the following documents prior to the first counseling session. 

new client intake form

The New Client Intake Form should be completed prior to your first session.  This document covers the following: your personal and emergency contact information, health and medical information, relationship history, current symptoms and information, and counseling desires. 

psychotherapy disclosure & agreement

The Psychotherapy Disclosure Statement, Agreement & Consent Form contains information regarding the services provided.  Each page of this document requires initials and a signature.  This form will also be reviewed during the first session to answer any questions.

Notice of privacy practices

The Notice of Privacy Practices Form should be reviewed very carefully.  This form covers information related to your personal health information (PHI) and describes how medical information about you may be used and disclosed, and how you can get access to this information.  Please review carefully and ask questions.