Informed Consent for Treatment
Please read, review, print, and sign this form to bring to your first session. Any questions about the informed consent may be asked during the initial consultation or the first session.
Download Forms and Documents
These forms provided information, disclosures, and agreements regarding informed consent for treatment, payment policies of the practice, and an intake questionnaire to fill out and bring with you to your first session.
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Notice of HIPAA Privacy Practices
Please review the privacy policies ("HIPAA") followed by this practice. Again, please ask any questions you may have about this document during the initial consultation or the first session. You do not need to print or sign this form; instead, you will sign the acknowledgement form below that you have reviewed this document.
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Acknowledgement of Receipt of Privacy Practices
Please read, review, print, and sign this form to acknowledge that you have received a copy of the practice's HIPAA Privacy Practices and had an opportunity to ask any questions about it. You may bring it with you to the first session.
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Individual Therapy Intake Questionnaire
Please complete this form for individual therapy and bring it with you to your first session. This form will collect basic demographic information about you. If any questions are unclear, please bring them up in the initial session.
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Couples Therapy Intake Questionnaire
Please complete this form for couples therapy and bring it with you to your first session. Each partner should complete a copy of the form independently. This form will collect basic demographic information about you, as well as ask basic questions about your history and current needs in relation to psychotherapy. If any questions are unclear, please bring them up in the initial session.
