News & Resources

 

Coffee Cup Therapy

New Article!
For Mind’s Sake: Four Self-Care Practices That Are Essential for Mental Health

Online Counseling Now Available

Forms & Documents

For your convenience, administrative forms are available here for download. Please contact me if you do not see a form you need, or if have questions about how or when to use each form.

*Please do not transmit sensitive personal information via the Internet. Contact me about secure transmission options.

*Walk-in appointments are not available. All sessions must be scheduled in advance.

New Client Forms

Save time by filling out your new client packet in advance. Complete these forms and bring them to your first appointment.

This packet includes a counseling consent form, intake questionnaire and optional online

counseling consent form.

Online Therapy Supplement

Clients planning to participate in online therapy are asked to read and sign this consent form. It is included with the New Client Packet but here as a standalone document for your convenience.


This document must be submitted prior to participation in video or other forms of online counseling.


Release of Information

This optional form is used to authorize information sharing between the therapist and another person or facility.

Information Update


Submit this form if you are an existing client and your contact information or insurance information has changed.


HIPAA Notice

This is our Notice of Policies and Practices to Protect the Privacy of Your Health Information, as mentioned in our Counseling Consent forms. Please read before signing.

 

Links & Other Resources

VSee

Online Therapy App

PTSD

Self-Assessment

 

(602) 540-6272

4600 E Shea Blvd #200, Phoenix, AZ 85028

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