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Documents for Individual therapy

Please make sure you read the New Patient Informed Consent and make sure you understand the parameters of therapy before you sign the contract agreement. Bring these documents to your first therapy session.

New Patient Informed Consent (initial & sign) -PDF

New Patient Intake  - PDF

Symptom Checklist   - PDF  To ensure accuracy when completing this, please make sure you are not hungry, tired, or rushed. Allow yourself about 20 minutes to complete.

 

Documents for Couple/Marriage Therapy

Please make sure you read the New Patient Informed Consent and make sure you understand the parameters of therapy before you sign the contract agreement. Bring these documents to your first therapy session.

New Patient Informed Consent (Print one copy, both intial and sign) -PDF

New Patient Intake (print 2 copies) - PDF

Symptom Checklist   - PDF To ensure accuracy when completing this, please make sure you are not hungry, tired, or rushed. Allow yourself about 20 minutes to complete.

Extended Session Self-Pay Document -PDF 


Documents for Family Therapy

Please make sure you read the New Patient Informed Consent and make sure you understand the parameters of therapy before you sign the contract agreement. Bring these documents to your first therapy session.

New Patient Informed Consent  (everyone initial and sign on copy) -PDF

New Patient Intake (print one for each person) - PDF

Symptom Checklist   - PDF To ensure accuracy when completing this, please make sure you are not hungry, tired, or rushed. Allow yourself about 20 minutes to complete.

Extended Session Self-Pay Document -PDF