Please feel free to download these fallible intake forms and save them on your computer. They can be completed and uploaded to a secure site before our first session. You will be provided with a secure link from the therapist to upload. These forms can also be filled out during the first session as well.
- Adult Intake – Client History
- Adolescent Intake – Parent Consent
- Client Rights Disclosure Statement
- Columbia Suicide Severity Rating Scale
- Consent to EMDR Therapy
- Consent to Text & Email
- COVID-19 Waiver
- Notice of Privacy Practices
- Release of Information
- Safety Plan
- Tech Recovery & Client Session Safety Plan
- Telehealth Consent Form
- Tele-Mental Health Confidentiality Computer Set-up
- Tele-Mental Health Emergency Contacts Form
- Tele-Mental Health Informed Consent
- Treatment Goals
If you feel that you would like to collaborate your session with another provider, simply fill out the following form.
A Good Faith Estimate will be provided for all clients who do not have mental health insurance.