Forms & Policies

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To make your initial visit a smoother process, we have provided the intake paperwork that needs to be completed and signed by all clients.  Please download and complete the appropriate Adult or Minor Intake as well as the Informed Consent package.  You may also view our HIPPA policy.
PLEASE NOTE:
ALL SESSIONS ARE BY APPOINTMENT ONLY AND AS A RESULT OF COORDINATION BETWEEN CLIENT AND COUNSELOR. 

Patient Forms

Credit Card Authorization Form
Release of Records Authorization
Doxy.me Authorization Form

HIPAA Policy

Notice of Private Practices
COVID-19 Liability Waiver​

Student Forms

Student Informed Consent
Adult Intake Form
Minor Intake Form

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