Welcome! We’re glad you’re here.

If you have scheduled an appointment with Kelly, please print out and complete the following forms prior to your appointment:

• Client Responsibilities
• Confidentiality Statement
• Insurance Pre-Authorization
• Personal History Form
• Telehealth Services

If you have scheduled an appointment with Cheryl, please print out and complete the following forms prior to your appointment:

• Client Responsibilities
• Confidentiality Statement
• Insurance Pre-Authorization
• Telehealth Services

If you have scheduled an appointment with Gerda, please print out and complete the following forms prior to your appointment:

• Client Responsibilities
• Confidentiality Statement
• Insurance Pre-Authorization
• Telehealth Services

If you have scheduled an appointment with Nancy, please print out and complete the following forms prior to your appointment:

• Insurance Authorization
• Release of Information
• HIPAA Form
• Intake Form
• Telehealth Consent
• Therapy Consent and Policies