New Patient Forms

**I am not accepting new patients at the moment

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Please Note: These documents require you to upload Identification Cards. Please use a laptop or desktop computer for best results.

If you are a new Adult Patient coming in for Individual Counseling, please complete all of the following forms.

• READ & COMPLETE THIS FIRST
• Adult Data Form
• Informed Consent

If you are a coming in for Couples Counseling, please complete all of the following forms. Each person in the relationship should complete one set of the documents below.

• READ & COMPLETE THIS FIRST
• Couples Data Form
• Adult Data Form
• Informed Consent

If you are the parent of a Minor Patient (AGES 10-17), please complete all of the following forms.

• READ & COMPLETE THIS FIRST
• Informed Consent
• Child Data Form
• Parent Questionnaire

Helpful handouts to have for your session (These are for you to keep and use):

• Cognitive Triangle
• Feelings Wheel List
• Emotions List 
• Daring Greatly
• The Work – Step by Step Worksheet
• Judge Your Neighbor –  The Work Worksheet

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