cropped-ac-siteiconcropped-ac-siteicon
  • About
  • Services
    • Individual Psychotherapy
    • Couples Psychotherapy
    • Video Counseling
    • Clinical Supervision
    • Group Therapy
    • Parent Consultation for Bereaved Children
  • Fees and Insurance
  • Grief + Complicated Grief
  • Client Forms
  • Blog
  • Contact
cropped-ac-siteicon
Close
  • About
  • Services
    • Individual Psychotherapy
    • Couples Psychotherapy
    • Video Counseling
    • Clinical Supervision
    • Group Therapy
    • Parent Consultation for Bereaved Children
  • Fees and Insurance
  • Grief + Complicated Grief
  • Client Forms
  • Blog
  • Contact

Client Forms

HomeClient Forms

Have an appointment coming up?

Here's what you can do before you come to see me.

Download and complete the forms below before your first appointment.

Credit Card Authorization
Consent to Treat
Email Confidentiality
Client Information
Videoconferencing Counseling Sessions
Informed Consent for Videoconference Consultation
HIPAA
Client Rights

Certification

Distance Credentialed Counselor

Certification

Certified Grief Educator

Certification

Compassionate Bereavement Care - MISS Foundation

Certification

WIEBGE Certified Level 1 Certification

Looking for something?

AncoraThemes © 2025. All rights reserved.