Counselling Education and Experience

To make the most of your appointments, we request that you fill out the required agreement and intake forms that apply to you prior to your visit. Doing so will also help you better understand the nature of the therapy you will be receiving, along with its benefits and risks. Rest assured that your information will be kept confidential.

Agreement Forms

Child Under 14 Treatment Agreement (Shared Custody)

Child Under 14 Treatment Agreement (Sole Custody)

Teen Treatment Agreement (One Parent)

Teen Treatment Agreement (2 Parents)

Adult Individual Treatment Agreement

Adult Individual Treatment (3rd Party)

Adult Couple Treatment Agreement (Same Address)

Family Treatment Agreement (2 Adults)

Family Treatment Agreement (Adult and Teen)

EMDR Information and Consent

Intake Forms

Teen Intake Form

Family Intake Form

Adult Intake Form

Child Intake Form

One Parent and Teen Intake Form

Couples Intake Form (Different Addresses)

Couples Intake Form (Same Address)

Client Medication Form

Email Use Consent Form (Individual)

Email Use Consent Form (Couple)