For All New Clients
Please download, print and complete these 2 forms and bring them with you to your appointment.
1. Mandatory Confidentiality Agreement (PDF 1 mb)
Required by the State of Colorado
2. Office Policy (PDF 1 mb)
Covers the basics regarding cancellation policy, payments and availability outside appointments.
Also, complete the appropriate form/s below:
New Adult or Teen Client Information Form (PDF 1 mb)
For male or female, teen or adult individual counseling. Some background information helps us get up to speed.
For Teen counseling. Defines how teen client privacy in managed.
New Couple's Consent Form (PDF 1 mb)
For couples counseling. Asks couples to agree to disclosure between partners and I'm unavailable to attend legal proceedings or consult for custody matters.
New Couple's Information Form (PDF 1 mb)
For couples counseling. Some background information helps us get up to speed.
For Other Practitioners and Physicians
Release of Information Form (PDF 1 mb)
Patients or clients can allow their service provider to discuss treatment with a designated professional.