“Sometimes your joy is the source of your smile,
but sometimes your smile can be the source of your joy.”
--Thich Nhat Hanh
Forms
ALL CLIENTS please print and complete, and/or sign the following forms FROM ALL FOUR LINKS BELOW, and bring them with you:
- Welcome Form (please note entrance to the building and instructions for waiting room)
- Intake Form (please complete BOTH PAGES and bring in/email)
- Credit Card Payment Consent Form (please complete and bring in/email)
- Office Policies and Information Form (please bring in/email ALL THREE PAGES)
- HIPAA Description and Signature Page (only bring in/email the SIGNATURE PAGE)
- Telemental Health Informed Consent Form (please complete and bring in/email)
If the client is a MINOR, in addition to the first 4 forms, please also complete, print, and bring in the following questionnaire:
If you are seeking COUPLES THERAPY, in addition to the first 4 forms, please also complete and bring in this questionnaire:
* Each partner should complete his/her questionnaire in private
