New Client Forms

Please review the forms in the Information Packet prior to your first appointment. Print and fill out the forms in New Client Forms (either Individual or Couples) and bring to your initial appointment .

Information Packet

Includes Provider Notice of Privacy Practices, Risks and Benefits of Using Insurance for Counseling, Informed Consent and Office Policies, and Social Media Policy.

Please read and keep for your records. You do not need to bring this with you.

New Client Forms (to return to therapist) - Individual

Includes Agreement to Informed Consent, Office Policies, and Social Media Policy (as presented in the above Information Packet), Privacy Practices Signature Page, Email and Text Consent, Client Information Sheet, and Financial Agreement.

Please fill out all forms and bring to your first appointment.

New Client Forms (to return to therapist) - Couples

Includes Agreement to Informed Consent, Office Policies, and Social Media Policy (as presented in the above Information Packet), Privacy Practices Signature Page, Email and Text Consent, Client Information Sheet, and Financial Agreement.

Please fill out all forms and bring to your first appointment. Most forms have space for two signatures, however, please each fill out an Email and Text Consent AND Client Information Sheet separately.

Information About Your Therapist

Amy Kipp, LMFT

Allison Atkinson, LPC - Coming Soon

Please read and keep for your records. You do not need to bring this with you.


 
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