Download and complete the following forms for your initial meeting.

New Client Information Form

Adult Wellness Assessment

Electronic Payment Option and Agreement

Consent for Treatment/Disclosure Statement

Child Adolescent Wellness Assessment

What is the purpose of these documents?

1. Consent for treatment form-The consent for treatment form 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. 

2. Adult or Adolescent Wellness Assessment
:  The adult and adolescent assessment forms provide valuable information and serve as a guide to explain or better understand your unique circumstances.  It is your opportunity to share valuable information and assist in communicating the most important details of your history, and hopeful outcomes for therapy.  This form will assist us in our initial session to review your history and develop an initial treatment plan. 

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

4. New Client Information Sheet is a brief summary of your contact information .

Having these forms completed in advance helps patients get the most from our first meeting together. If for any reason you are unable to print the above forms, copies are available in my office.

 I look forward to meeting you.  -Margaret Denise Brauns