Forms
Counseling information and required forms
-

RECEIPT OF PRIVACY PRACTICES.docx
(14K)This acknowledges that you received the HIPAA information. Please sign and bring with you to your first session. -

INTERNET CONTACT POLICYt.docx
(14K)This talks about limits of internet contact between you and the counselor. Please print, sign and bring to your first session with you. -

NO SECRETS for FAMILY/COUPLE THERAPY
(11K)Important information regarding how information communicated to a therapist is utilized in family or couples sessions. Please have all members who will be participating in counseling sign this document and bring with you to your first session. -

NOTICE OF PRIVACY PRAXCTICES-HIPAA.docx
(19K)Imporant information about how health insurance is stored, shared and communicated. Please read. You do not need to bring this to your first session. -

OFFICE POLICIES/AGREEMENT OF SERVICES.doc
(42K)Here you will find important information regarding office policies; scheduling, cancellations, emergencies, confidentiality, fees, the process of counseling and termination. It is important that you read this document entirely and ask questions if you have them. Please sign and bring the the first session. -

PERSONAL INFORMATION/HISTORY.docx
(19K)This is a questionnaire to help me to get to know you and your situation better. Please fill out and bring to your first session.
