Forms are filled out online using a secure client portal, which will be set up after our initial phone consultation. You can review the forms here.
All clients must read and sign BOTH of the following forms and prior to the first session. These documents will be updated periodically.
- Professional Disclosure Statement and Counseling Services Agreement 2020
- Notice of Privacy Practices 2020
You may need to sign additional documents and fill out additional intake questionnaires prior to your appointment.
Client Intake Information Forms
Client intake forms are completed online using a secure client portal.
If you have visual limitations, you may be able to use a screen reader app or software to read the documents to you.
If you are unable to use the online client portal (such as if you do not have access to a computer, smart phone, tablet, etc.; do not have access to the Internet; or have other limitations that prevent you from using an online portal), please contact me via phone or email. In such situations, I can email the documents to you, so you can print them out and sign paper copies of the documents; or I can mail them to you via USPS if you do not have access to email.