Intake forms: Acupuncture
Informed Consent For Therapy Services
Consentimiento para Servicios de Acupuntura
Body Center Appointment Policies
Acupuncture Confidential Information Form
Acupuntura Formulario Confidencial
Intake Forms: Psychotherapy
Authorization for Release of Information
Informed Consent for Therapy Services
Therapy Intake – Client Confidential Information Form
Spiritual Direction Forms
Spiritual Direction Confidential Information Form
Spiritual Direction Application Form 2020
Parish Counseling Client Forms
Individual Client Questionnaire 5.17: filled out before third session. (PDF)
Couples Information Questionnaire 5.17: before third session. (PDF)
Notice of Privacy Practices: (Hippa Info) given to client at first meeting. (PDF)
Privacy Consent Form: (Hippa Signature Page) signed by client, handed into office. (PDF)
Informed Consent: given to client at first meeting (PDF)
Informed Consent Signature: signed by client, handed in to office. (PDF)