Professional Disclosure Statement (PDS)
Provides you with how I approach counseling and previous education. Covers pricing and your rights as a client.
Intake Form
To get an initial understanding of what you’ve been facing, as well as important information needed to provide quality treatment. This is required.
Informed Consent
This outlines the boundaries and rights involved in our work together and allows you to give me permission to work together with you regarding mental health.
HIPAA Rights and Responsibilities Form
To view your rights as a client and my responsibilities as a therapist. This form also describes special situations in our work and what actions may need to be taken. This is a required form.
Release of Information (ROI)
To allow me to work together with anyone outside of our counseling sessions (doctors, teachers, etc.) to provide you quality treatment. This is not required, but is available if you want me to work together with outside sources.
CONSENT FOR TELEHEALTH SERVICES
To agree with and allow me to work with you using Telehealth’s online videoconferencing services. This is a required form if we are working using online therapy.