Before We Meet If you have the opportunity to do so before we talk by phone, please review the my Office & Privacy Policies (available for download at the bottom of this page).These forms explain my office procedures, policies and agreement for counseling services, as well as important information about your confidentiality. If you have questions after reading these forms, please bring them up when we speak.
The Registration forms packet is available as a Word Doc at the bottom of this page. For telehealth sessions, please download, complete and save the Registration packet to your computer so I can get the documents from you electronically over Doxy.me at our first appointment. A copy of your insurance card is very helpful if you are able to provide that as well. For in-person sessions, please print out the Registration packet, fill it out and bring the forms, as well as your insurance card and payment, to your first session.
The Registration Forms packet includes:
Client Registration Information: This form asks you for basic demographic information, emergency contact information, and insurance information
Office & Privacy Policies (see top of page)
Primary Care Physician Notification Form: This form is a letter that is sent to your Primary Care doctor to inform them that you have begun counseling. (It is not an ongoing release of information.)
* Self-pay and uninsured clients, please also read the "Right to Receive a Good Faith Estimate of Expected Charges" Under the "No Surprises Act" notice located at the bottom left side of this page.*