FORMS

Forms are for established clients only.

Please complete the required forms before your first scheduled intake appointment.

To schedule an appointment, an initial screening must take place. If you are not an established client but are interested in my services, please reach out on the contact page.

iNFORMED CONSENT FORM

STEP 1 OF 3 FOR NEW CLIENTS

Client intake FORM

Client intake form

STEP 2 OF 3 FOR NEW CLIENTS

NO SURPRISES ACT/GOOD FAITH ESTIMATE (GFE) FORM

no surprises act / GOOD FAITH ESTIMATE (GFE) FORM

STEP 3 OF 3 FOR NEW CLIENTS

standard authorization of disclosure FORM

standard authorization of disclosure form

CONSENT FORM TO COMMUNICATE WITH ANOTHER PROFESSIONAL OR AGENCY

COACHING FORM

Coaching form

CONSENT TO PARTICIPATE, RELEASE, AND WAIVER OF LIABILITY

Continued Education evaluation FORM

Continued education evaluation form

EVALUATION FORMS ARE REQUIRED TO BE COMPLETED FOR STUDENTS SEEKING CONTINUED EDUCATION CREDITS FOR LICENSING RENEWAL