Please Note:

1. These documents require you to upload Identification Cards. Please use a laptop or desktop computer for best results.
2. Remember, the session you request will not be held if you do not complete your New Patient Paperwork! There are no exceptions.
3. During the pandemic, ALL sessions will be virtual. We will not conduct face-to-face sessions until further notice.

Forms:

New patients are to complete the following documents:

• • Adults
    • New Patient Paperwork – Adults
    • Informed Consent

• • Minors – (16+Only)
    • New Patient Paperwork – Minors
    • Informed Consent

If you are coming in for Couples Counseling, please complete all of the following.

Each person in the relationship should complete one set of the documents below.

• • Couples
    • New Patient Paperwork – Couples
    • Informed Consent

Additional Treatment Forms:

• • Treatment Planning Ideas
  • Release of Information Form

Handouts:

• • (These are some of the handouts we may use during our therapy sessions)
    • Dimensions of Wellness
    • Homework Sheet – Blank
    • Conflict Resolution Skills
    • List of Emotions
    • Understanding Fight, Flight, or Freeze
    • The Grief & Loss Cycle
    • Instructions for Doing The Work
    • One Belief At A Time – The Work
    • List of Medications
    • Passive Aggressive & Assertive Communication
    • Say This Not That – The Gottman Method
    • The Sound Relationship House Theory
    • The Four Horsemen
    • What Triggered Me
    • List of Values
    • The Wholehearted Parenting Manifesto

Additional Treatment Resources:

• • Self-Reports Assessment Tools

    • Addiction
      • Sexual Addiction Screening Test (SAST)
      • Internet Addiction Assessment (IAA)
    • ADHD
      • Adult ADHD Self-Report Scale (ASRSv1.1)
      • Vanderbilt ADHD Diagnostic Rating Scale (VADRS)
    • Aggression
      • Buss Perry Aggression Questionnaire (BPAQ)
    • Anxiety
      • Generalized Anxiety Disorder 7 Item Scale (GAD-7)
      • Liebowitz Social Anxiety Scale
    • Bipolar
      • Altman Self-Rating Mania Scale (ASRM)
      • Young Mania Rating Scale (YMRS)
    • Depression
      • Major Depression Inventory (MDI)
      • Kutcher Adolescent Depression Scale – 11-Item (KADS-11)
    • Health
      • Patient Health Questionnaire (PHQ-9)
    • Personality
      • Personality Type Indicator (PTI)
      • Big 5 Personality Test (FFM)
    • Stress
      • Primary Care PTSD Screen (DSM-5) (PC-PTSD-5)