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FORMS

For your convenience, the following forms are available for you to complete and send before your first therapy session. For couples/partners please complete separate forms.

Any questions? Contact me below before your first session.

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Yellow Roses

General Info and Client Information Forms

General info - Information on the therapeutic process and services

Client info - General information about yourself; take time to fill out at your own pace

Virtual Conference

HIPAA and Telehealth Forms

HIPAA - Information on privacy practices and your rights

Telehealth - General Information on engaging in therapy through electronic services

Yellow Flower

Authorization to Exchange/Release Info

Authorization to Exchange or Release information - to approve communication with emergency contact and any providers or loved ones involved in your healing process

Contact

Any question? Get in touch to learn more.

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