Three Step Application Process
I ask every person to complete a set of questionnaires and forms before getting started. These are required for all my services. You can contact me to confirm the completion of all required forms and questionnaires. Then I will contact you to schedule the date and time of your appointment.
Step One: Read My Services
Please make sure you have read the relevant services pages in full. They will answer many of your questions. Additionally, they will explain the benefits, objectives and processes of the service. They will make clear what the service involves.
Step Two: Forms
Our work together requires that you be aware of certain policies. You will find a description of my general office policies and those regarding telehealth in two forms below. Please read them carefully. If we determine that it would be in the best interest of our work for me to talk with someone who knows you, I will also ask you to fill out the Release of Information form.
Download, Sign & Return The Following 3 Forms
Instructions: Click on each of the 3 links below. Clicking on a link will open the PDF form in a new browser tab. You will see the corresponding form. Please download (save to file) all 3 of them. Read, fill out & sign each as indicated.
Then, email them to me at: firstname.lastname@example.org
Step Three: Connect With Me
After completing Steps 1 & 2, you can contact me through the form below. I will connect with you to schedule a convenient time for our first meet.