Transformational Living Forms and Agreements

Transformational Living Forms and Agreements

Welcome to my practice. I very much look forward to our first meeting, and in order to best utilize our time together, I would appreciate your downloading and printing the forms you will find here.

The forms necessary to start the process are:

1. Counseling Agreement

2. Telehealth Informed Consent

3. Client Intake Questionnaire

This form asks you for some basic information and how to get a hold of you between sessions. It also asks for an emergency contact, and for the reason, you are seeking therapy at this time.

3. HIPPA Form

The final document is also supported by the laws of the State of California.
It informs you of your rights in regard to Private Medical Information (PMI). After you have read it over, you are asked to initial it so that we both know that you have reviewed it.

I appreciate very much that you have taken the time to take care of this documentation in advance. You may want to make copies for your own personal files. Please bring the originals with you to your first appointment or scan them and send them back by email to:

My best to you,