PAPERWORK
For the convenience of my individual therapy clients, I am providing my paperwork in a downloadable format. There are separate client info forms, depending on whether the client is a child/adolescent or an adult. Please print all six documents, fill them out and bring them with you for your first appointment. If you are unable to do so, please email me to let me know you were unable to download the paperwork and I will try to email the files to you. Otherwise, please let me know in advance and arrive 30 minutes prior to your appointment time to allow yourself plenty of time to complete the paperwork prior to the appointment. If you have any questions about the paperwork, they can be addressed during your intake appointment. Thank you!
While some of the documents may not be applicable, it is better to have the documents in your file should the situation change (i.e., we do not intend to do EMDR treatment initially, but your needs change, etc.). Thank you! I look forward to working with you!
The documents are as follows: 1) Client Information, 2) Child/Teen Client Information, 3) Medical Records Release Consent, 4) Consent to Photograph Artwork, 5) Consent for EMDR Treatment, 6) HIPAA/Privacy Consent and 7) Office Policy
For the convenience of my individual therapy clients, I am providing my paperwork in a downloadable format. There are separate client info forms, depending on whether the client is a child/adolescent or an adult. Please print all six documents, fill them out and bring them with you for your first appointment. If you are unable to do so, please email me to let me know you were unable to download the paperwork and I will try to email the files to you. Otherwise, please let me know in advance and arrive 30 minutes prior to your appointment time to allow yourself plenty of time to complete the paperwork prior to the appointment. If you have any questions about the paperwork, they can be addressed during your intake appointment. Thank you!
While some of the documents may not be applicable, it is better to have the documents in your file should the situation change (i.e., we do not intend to do EMDR treatment initially, but your needs change, etc.). Thank you! I look forward to working with you!
The documents are as follows: 1) Client Information, 2) Child/Teen Client Information, 3) Medical Records Release Consent, 4) Consent to Photograph Artwork, 5) Consent for EMDR Treatment, 6) HIPAA/Privacy Consent and 7) Office Policy
| client_info_2016.pdf |
| 2016_med_release.pdf |
| art_therapy_consent_2016.pdf |
| ata_hipaa_-dmiesch.pdf |
| office_policy_2021.pdf |
| good_faith_estimate.pdf |