You may download and fill out the forms below prior to your first appointment. If you would prefer to fill these forms out during your first session, I will have forms available on site.
|Client Information Form||DOC|
|Notice of Confidentiality||DOC|
|Professional Disclosure Statement||DOC|
|Insurance Information Form||DOC|
As a licensed counselor, I am able to take most major insurance providers.
If you have questions regarding the outpatient mental health coverage of your policy, please contact my bookkeeper, Teresa, at firstname.lastname@example.org. For appointments, please conact us at email@example.com