First Visit Forms

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• Intake Form for Individual Psychotherapy

• Private Practice Policies

• Consent, Authorization to Contact, and Financial Fee Policy and Agreement

• Notice of Privacy Practices (HIPAA)

• Somatic Experiencing & Safe Touch Contract

 

Please print and complete either the Intake Form for Individual Psychotherapy or the Intake Form for Couples Psychotherapy prior to coming in.

 

You may wish to take a few moments to review the Private Practice Policies and/or The Financial Fee Policy and Agreement, which we will go over together at our first meeting.

 

If you have any questions please do not hestiate in contacting me. 

                              Wisdom is nothing more than healed pain.  

                                              ~  Robert Gary Lee