All Forms
Disclosures
Vicki Swab's Disclosure Statement
James Estes' Disclosure Statement
Laurie Liddick's Disclosure Statement
Lisa Goldberg-Grigg's Disclosure Statement
Sarah Lewis' Disclosure Statement
Christine Taylor's Disclosure Statement
Stephanie Kugler's Disclosure Statement
Jack Davenport's Disclosure Statement
Jessica Colson's Disclosure Statement
Catherine Thompson's Disclosure Statement
Jennifer Worcester's Disclosure Statement
Desiree Murray's Disclosure Statement
Jen Sievert's Disclosure Statement
General Forms
Please choose one of the following:
Client Information - Child/Adolescent
Client Information - Couples/Family
Please complete all these forms:
Consent to Communicate PHI Electronically
Complete if you would like me to speak to another professional (Physician, Teacher, Etc.):
Additional form(s):
Teletherapy
Teletherapy Informed Consent Form