FORMS

Prior to our first appointment, please download, print, and fill out the forms below. If you have questions for me, feel free to write them down so we can review them together.  If you are coming for couples counseling, BOTH people need to print and sign their own documents.  If you’re under age 18, BOTH legal guardians must print and sign the parental consent form and Mandatory Disclosure Statement.  Please note there is a separate Adolescent Intake form as well.

Mandatory Disclosure Statement:

Mandatory Disclosure Statement_May 2018

Client Questionnaire

Client Questionnaire

Payment Policy

Payment Policy_Kindred Counseling

Privacy Policy

notice of privacy practices_kindred counseling_pdf

Social Media Policy

social medial policy_version 2 july 2016

Authorization To Exchange Confidential Information

authorization to release info

Brain Dump

Brain Dump 1st session

EMDR Informed Consent

EMDR Informed Consent

Parental Consent Form for Clients Under age 18

parental consent form adolescent intake form

Adolescent Intake Form

adolescent intake form