Jennifer’s Forms

Client Paperwork – Jennifer’s Clients

This page contains the new client paperwork.  It can save time if you are able to fill it out and bring it with you to your appointment.  There will be copies available in the office if you do not have access to a printer.

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New Client Paperwork

New Client Forms

All new clients need to fill out this set of forms. They include: A Client Information Form, which provides basic contact information and will help us to bill your insurance. An Informed Consent Form, where we  have outlined our office policies and included all of the disclosures needed to begin therapy.  An Assessment Form, which allows us to collect some background information and helps us to understand all of the factors impacting your life.  Please fill this out as completely and as accurately as possible.  We will go over all of these forms in session and will answer any questions you might have.

 

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Couples Packet

Couples Packet

If you are planning on attending couples counseling please print the couples paperwork.  This packet includes the same forms listed above but also has an additional assessment form.  Having background information from both partners is essential to understanding all the dynamics of the couple.

 

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Release of Information

Release of information

This form only needs to be filled out if you would like information released to another medical professional or any other outside party.  It would also need to be filled out if you would like to contact a previous therapist or medical provider. If you are unsure if this applies to you, we can discuss this in session.