If you're a new client, please complete the following forms and bring them to your first therapy session. (If you are scheduled for a teletherapy appointment, please email the completed forms to your therapist 24 hours prior to your teletherapy appointment.) The therapist email addresses are listed below.
- Intake Questionnaire/Biopsychosocial
- Financial Policy, Client Rights, Confidentiality, Informed Consent, Release of information
- Teletherapy Informed Consent
- Screenings - GAD 7 & PHQ-9
- Service Plan
Therapist's Email Addresses:
Rachel Holland, MBA, MA, LPC, NCC: [email protected]
Jacqueline Williams, MS, LCSW: [email protected]
Vicky Snysder, MS, LPC: [email protected]
Roy Cutter, MA, LAC: [email protected]elingsrv.com
Andreea Faur, MS, LAC: [email protected]
Alexandra Estavillo, MFT: [email protected]
Ian Holland, Administrator: [email protected]
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
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