For our first meeting there are several documents that I require. The more information you can provide, the more quickly we can begin to address the issues that brought you to therapy.
Please download, print, fill out completely and bring to session the following forms:
All clients:
Clients using insurance for which I am a Preferred Provider:
– contact me for all other applicable forms.
Clients with insurance for which I am NOT a Preferred Provider:
– contact me for applicable forms.
Clients not using insurance:
– contact me for applicable forms.
For clients with other parties (i.e., providers, family members, etc.) involved in their treatment:
– One Release of Information form for each involved party
I also request that all clients review my Notice of Privacy Practices and the What to Expect From A Counselor brochure. A map and directions to my office can also be downloaded.
I look forward to working with you.