Lenée N. Essig

• Intake Form for Individual Psychotherapy

• Telehealth Policy

• Private Practice Policies

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

• ACE Questionnaire

• Cross Cutting Symptom Measure

• Notice of Privacy Practices (HIPAA)

• Somatic Experiencing & Safe Touch Contract

 

All required forms must be submitted prior to the first appointment, otherwise the appointment will be rescheduled. Forms can be completed and signed electronically and/or downloaded and completed online. This process will be discussed during the initial consultation.

 

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 hesitate in contacting me.