Trust 2 Believe . ME

Trust 2 Believe . METrust 2 Believe . METrust 2 Believe . ME

Trust 2 Believe . ME

Trust 2 Believe . METrust 2 Believe . METrust 2 Believe . ME
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  • More
    • Home
    • Services
    • Contact Us
    • Forms
    • FAQ's
    • Resources
      • ADDICTION AND RECOVERY
      • CHRONIC ILLNESS
      • CONFLICT RESOLUTION
      • COUPLES COUNSELING
      • DEPRESSION AND ANXIETY
      • FAMILY COUNSELING
      • GRIEF AND LOSS
      • GRIEF COUNSELING
      • INTIMACY AND RELATIONSHIP
      • PANIC ATTACKS / DISORDER
      • PARENTING & FAMILY ISSUES
      • PARENTING SUPPORT
      • PHOBIAS
      • STRESS MANAGEMENT
      • WORK AND CAREER ISSUES
    • Links
    • Privacy & Policy
  • Home
  • Services
  • Contact Us
  • Forms
  • FAQ's
  • Resources
    • ADDICTION AND RECOVERY
    • CHRONIC ILLNESS
    • CONFLICT RESOLUTION
    • COUPLES COUNSELING
    • DEPRESSION AND ANXIETY
    • FAMILY COUNSELING
    • GRIEF AND LOSS
    • GRIEF COUNSELING
    • INTIMACY AND RELATIONSHIP
    • PANIC ATTACKS / DISORDER
    • PARENTING & FAMILY ISSUES
    • PARENTING SUPPORT
    • PHOBIAS
    • STRESS MANAGEMENT
    • WORK AND CAREER ISSUES
  • Links
  • Privacy & Policy

 If you're a new client, please complete the following form(s) before your first session.  
 

Basic-Rights (pdf)Download
Communication-&-Availability (1) (pdf)Download
Fee-Schedule (pdf)Download
Hippa-Compliance (pdf)Download
Mandated-Reporter (pdf)Download
New-Client-Questionnaire (pdf)Download
release-of-information-for-transactions-and-assignment-of-benefits (pdf)Download
Telehealth_Consent_Form (3) (pdf)Download

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete the form below to authorize release of psychotherapy information: 

Authorization-for-Use-or-Disclosure-of-Protected-Health-Information. (pdf)Download

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