Forms

COUNSELING:
If you're a new client, please complete the following forms and bring them to your first therapy session.

• Client Referral Form
• Client Packet

The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule provides consumers with important privacy rights and protections with respect to their health information. Ensuring strong privacy protections is critical to maintaining individuals’ trust in their health care providers and willingness to obtain needed health care services, and these protections are especially important where very sensitive information is concerned, such as mental health information.

For more information about your rights and our responsibilities, visit the U.S. Department of Health and Human Services - HIPAA Privacy Rule and Information Pertaining to Mental Health 

MASSAGE THERAPY:
If you're a new client, please complete the following forms and bring them to your first massage therapy session.

• Intake Form
• Client Agreement

Note: To download Adobe Acrobat Reader for free, Click here.