Client Information & Forms
[The copyrighted forms and documents in this section are for client use only and may not be reproduced without the permission of the author.]
New Client Packet
Documents to be read and agreed upon at or prior to your first session are located in Step 2 on the Appointments page.
NOTE: If you would prefer not to submit the fillable forms (over the Internet through secure, encrypted email directly to our office) before your first session, you may also print and fax or mail the completed forms to us. As another alternative, you may print out these documents, read the notices and disclosures, and bring the completed forms with you to your first session. If you have any difficulty submitting these required forms, please call us at 360-626-1457.
Signed forms are required of all adults and teens who are participants at any time during a counseling session.
Stop Smoking Flier
Print this page out for yourself or someone you love.
Our highly successful smoking (& chewing) cessation program utilizing clinical hypnosis can quickly and effectively stop the addiction once and for all. Use this flier for yourself, to post in your workplace, or as a gift certificate for a friend or loved one. Put our 30 years of experience to the test.
EMDR Brochure
Introductory brochure about this treatment.
Eye Movement Desensitization and Reprocessing is one of the biggest breakthroughs in mental health over the past thirty years. We are proud to offer this specialized work.
EMDR Preparation
Exercises you must complete prior to treatment.
This is a detailed description of the three exercises we ask that you complete if this treatment is recommended for you and you choose to engage in the process.
F.A.Q.
Frequently Asked Questions AboutVideo & Telephonic Counseling |
The law requires that you complete and sign this release form if you wish me to send your confidential information to yourself, to other healthcare providers, or to any other third parties. We can also follow your request if you have signed (and we have received) a release form from your other provider.
Please complete this form if you are suicidal or homicidal, have a plan, or have made one or more past attempts. Once submitted, you will receive a copy in your email. Please print it out, keep it as a reference, and utilize it any time you are having these thoughts or may be at risk of hurting yourself or someone else.
Crisis Resource
