Prior to your initial appointment, please download the three files below and complete the following forms and bring them to your appointment. That way we can get going with the assessment in lieu of completing forms at the beginning of the appointment.
The first file, HIPAA Form and Consent to Treatment, will give you specific information about my practice and therapy as well as vital HIPAA information to let you know your rights on the privacy of your child's and/or your personal health information. The last two pages of the document are a Consent Form for you to sign that you are consenting to treatment for yourself or your child and a New Client Information Form to give me basic information about yourself and/or your child. If your child is age 12 or older, please have him/her sign the consent form as well. The rest of the packet is yours to keep.
The second file to download, The Symptom Checklist, will give me a lot of information about the things that you or your child is struggling with to help me get the whole picture. If you have a teen, please have them fill out a copy too. The final download, the Counseling History Form will give me info about your needs and goals for therapy and any previous counseling experience that you or your child have had before.
I will be happy to answer any questions at your appointment or before if you wish.
I look forward to meeting you and/or your child/teen for the first time!I