FORMS AND RESOURCES

FORMS

Download forms and email to judyinnes11@gmail.com prior to your first session.

INFORMED CONSENT

ALL CLIENTS

HIPAA/CLIENT RIGHTS

ALL CLIENTS

TELETHERAPY INFORMED CONSENT

ALL CLIENTS

ADULT INTAKE

INDIVIDUAL CLIENTS ONLY

COUPLES INTAKE

COUPLES ONLY

INSURANCE BILLING

Please use the links below to submit Secure Online Forms PRIOR to your first appointment.  Please fill out a new patient verification OR a change of verification form.  A credit card on file is required for all clients.

NEW PATIENT VERIFICATION

NEW CLIENTS

CHANGE OF VERIFICATION

RETURNING CLIENTS OR INSURANCE UPDATES

RECURRING CREDIT CARD FORM

ALL CLIENTS

THERAPY AND EXERCISE

MENTAL HEALTH AND SOCIAL MEDIA

MAINTAINING A COUPLE BUBBLE