Forms

If you are a new client, please print these (5) forms before we meet:

Client Intake Form 2. Client Email and Text Agreement

3.Client Questionnaire 4. Service Disclosure 5. Service Agreement

For your reference only: HIPAA Privacy Notice | Office Policies and Procedures

Telehealth Therapy: Telehealth Consent Form Screeners: GAD-7 | PHQ-9

couple holding hands.jpg — “Relationship healing and restoration begins with one decision and one person at a time.”
-Cheryl Retic, MS, LMFT

Resources: They will be available soon.