New Client Paperwork

New Client Intake Form

General information, presenting concerns, and goals for therapy.

Informed Consent for Services

Your rights as a client, confidentiality limits, and practice policies.

HIPAA Notice of Privacy Practices

How we collect, use, and protect your health information.

Financial Agreement & Fee Schedule

Payment policies, rates, and billing authorization.

Telehealth Informed Consent

Consent for video-based therapy, technology guidelines, and emergency protocols.

Telehealth Technology Agreement

Platform requirements and troubleshooting guidance.

Supervision Agreement

Goals, expectations, and logistics for the supervisory relationship.

Supervisee Self-Assessment

Strengths, growth areas, and learning objectives.