INITIAL INTAKE DOCUMENTATION: 
Before completing these forms, please call to confirm that I am taking new clients. Once you have done so, please print and complete the following 5 items, then bring them with you to your first session.

1. Client Registration and Confidential History​
2. Symptom Checklist
3. HIPPA Notice of Privacy Practices
4. Outpatient Services Contract
5. Appointment Cancellation Policy

​Please complete and bring the above 5 forms to your initial session.

OTHER FORMS:

• Authorization for Release of Confidential Information

           (Required when you want your counselor to obtain or share information with other individuals/agencies)

• Therapy Collateral Agreement 

           (Required when you want a family member or significant other to participate in your therapy)
​
The forms below may be requested sometime during your therapy. You do not need these for your initial appointment.

• ​Family of Origin Questionnaire
• Trauma History Worksheet

​We cannot avoid suffering but we can choose how to cope with it, find meaning in it, and move forward with renewed purpose.
― Viktor E. Frankl, Man's Search for Meaning