Client Paperwork

ADULTS

All adult clients should review and sign the following four documents before or during your intake session. All information included will be kept secure and confidential. 

1) Client Contact Information 

2) Notice of Privacy Policies

3) Working Relationship Agreement

4) Online & Digital Media Policy


ADOLESCENTS

All parents or legal guardians of clients under the age of 18 should review and sign the following documents before or during the intake session. I encourage guardians and minors entering treatment to review paperwork together, especially form #2 Consent for Treatment of a Minor. All information included will be kept secure and confidential.

1) Minor Client & Guardian Contact Information

2) Consent for Treatment of a Minor

3) Notice of Privacy Policies

4) Working Relationship Agreement

5) Online & Digital Media Policy


CONSULTATION & RELEASING INFORMATION

A release of information allows me to speak with other health care professionals, institutions, or individuals about your care. I must have your express consent to share information with anyone about you and your treatment. The following form must be filled out, signed, and discussed before I will consult with anyone about you or your treatment.

Release of Information