Switch to Accessible Site
Therapy for IndividualsCouples, & Families
Couple Therapy Session

Helpful Forms

If you're a new client, please complete your counselor's registration packet below and bring it with you to your first therapy session.

Suzanne Palmer

 

Theresa Cole

Registration Packet   Registration Packet
Adolescent Consent Form   Cancellation Policy
Cancellation Policy   Client Agreement
Client Agreement   Notice of Privacy Practices
Counseling Intake Form   Patient HIPAA Consent Form
Declaration of Practices and Procedures   Registration Form
Limits of Confidentiality    
Notice of Privacy Practices    
Patient HIPAA Consent Form    
Personal Agreements    
Registration Form    

If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:


Note: To download Adobe Acrobat Reader for free, click here.