Please note that I am currently experimenting with fillable forms that can be emailed to me prior to you coming in. The Client History form below is my first experiment. If you choose to fill out the form and email it to me, this will help me to have an idea of your history before you come in. I am also required to make sure you know that emails, text messages, and cell phone calls are not considered "secure", in these days of hackers, etc. & you are taking a risk when you use these means of communication.
Client History Form--If you choose to use the fillable form, first click on link below to open, then to the right of the form, click on "download". At that point the form will allow you to type in your information. Once you fill it out, click on the envelope on the top left and email to firstname.lastname@example.org prior to your first appointment :
Please click on the first 5 forms to print, fill out, and sign prior to coming in for your first appointment.
The client history takes the most thought and time so please fill it out prior to coming in. You may choose to use the fillable & "e-mailable" form on the left. If you are one of my marital or couple clients, please fill out a client history form for each of you. If you are a pre-marital couple, please each fill out a pre-marital intake form on the left. You don't need to fill out the client history form.
The following form is to acknowledge that you have read the HIPPA notice, which follows the acknowledgment.