FORMS
PAPERWORK
Before we can begin working together, you will need to complete some paperwork. Each necessary form is listed below. Once completed, you can scan and email them to me at the link below.
INTAKE FORM
The intake form fills me in a bit so that we don't have to spend our time together going over the basics.
You can click on this link for the intake form or the adjacent image. Once you've completed it, I'll need every page of this form sent back to me.
intake form.pdfNOTICE OF PRIVACY PRACTICES
Confidentiality is one of the foundational pieces necessary for a good therapeutic relationship. Because it is important for me to know how seriously I take your trust, this form outlines what steps are taken to protect your privacy as well as the legal reasons it can be broken.
You can click on this link for the Notice of Privacy Practices, or you can click on the adjacent image. You need only print, sign, and submit the last page of this document.
Notice of Privacy Practices.pdfPSYCHOTHERAPIST-CLIENT AGREEMENT
This wordy document looks boring but contains significant information regarding your rights and what we can expect of each other throughout the therapeutic process. Please take time to read it over and let me know if you have any questions.
You can click on this link for the Psychotherapist-Client Agreement, or you can click on the adjacent image. You need only print, sign, and submit the last page of this document.
Psychotherapist-Client Agreement Form.pdfINFORMED CONSENT: TELE-HEALTH SERVICES
This short consent form outlines the expectations and requirements to ensure a successful therapy appointment online. Please review it and let me know if you have any questions.
You can click on this link for the Informed Consent, or you can click on the adjacent image.
Telehealth Informed Consent.pdfI must have these four forms in hand before we can begin working together. While I need every page completed of the Intake Form, I only need the signed final pages of both the Notice of Privacy Practices, the Psychotherapist-Client Agreement Form, and the Informed Consent. It is a good idea to print the last 3 forms and keep a personal copy.