Download Forms

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.

FormDownload
Client Information FormPDFDOC
Notice of ConfidentialityPDFDOC
Professional Disclosure StatementPDFDOC

Billing

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 tmemedicalbilling@gmail.com.