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Forms

The following forms should be downloaded and completed prior to the first session or you should plan to arrive one hour in advance to complete all paperwork:

To set up an

 

APPOINTMENT

 

Call or email

Informed Consent

All clients please download and carefully read the eight-page Informed Consent, complete it, and bring it to your first counseling session. This is a legal contract.

Client Information

All clients please download and complete the one-page, Client Information Form

Minor Child Informed
Consent

All clients please download and carefully read the eight-page Informed Consent, complete it, and bring it to your first counseling session. This is a legal contract.

Minor Child Information

 

All clients please download and complete the one-page, Client Information Form

Credit Card Authorization

 

All clients please download and complete a Credit Card Form to keep on file for unpaid charges.

Sexual Addiction Assessment

 

Please complete the SA assessment to determine if you might be struggling with a sexual addiction.

Adult and Teen Assessment

Please answer each question to the best of your ability. If you are completing this assessment for your minor child, please give it to him/her to add to in privacy as you have completed your information.

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