Client Counseling Forms


Start the therapy process.

Screen for Fit Quiz

Determine if my practice is the right service for you.

Consent to Treatment Form

This is a sample of the form you will sign to begin treatment. The actual form will be sent to you via encrypted email.

Complete this form during the intake process before you begin therapy.

Complete this form before every session.

CC/PayPal Authorization

Complete this form to pay by credit card or PayPal

Complete this form if you want me to speak with someone other than you about your case.

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Areas of Interest Checklist

Complete this form during the intake process to help inform your treatment plan.

Learning Reflection

Complete this assessment after a learning activity to share your perception of the activity.