Download the following forms, complete and bring to your initial meeting.

New Client Info

Client History

Adult Wellness Assessment

Electronic Payment

Disclosure Statement

Child Adolescent Wellness Assessment

What is the purpose of these documents?

Disclosure Statement-The disclosure statement is our agreement for therapy services to begin.  It discloses important information to clients about what to expect in therapy, the rules of confidentiality, and basic information about my practice such as payment options, scheduling and cancellation policies.  This is the most important document to have completed in our first meeting. 

Adult or Adolescent Wellness Assessment
:  The completed wellness assessment provides valuable information so I can better understand your unique circumstances.  It is your opportunity to share valuable information and helps to ensure you can communicate the most important details of your history.  Our initial session will include reviewing your history and developing an initial treatment plan. 

Electronic Payment Form:  This document is for clients who would like to utilize the option of electronic payment.

New Client Information Sheet:  This document summarizes your contact information.

Thank you for your help in getting the most out of our first meeting.  If for any reason you are unable to print the above forms, copies are available in my office.

 I look forward to meeting you.  -Denise