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TrueHearted Counseling

Forms

New Client Forms


If you're considering me for your therapy needs, then first of all: thank you! I'm looking forward to meeting you in person.
Below, you will find the forms you'll need to complete before your first session. Please give yourself plenty of time to fill them out.
If you feel like you're ready to schedule an appointment, please give me a call.

NOTE: I now use an online platform for managing scheduling, billing, and forms. The forms below are only here for reference​. If you decide to schedule an appointment you'll actually be filling these out online!



One of these, as appropriate: Either the Intake Form for Adults or​ the Intake Form for Children/Teenagers​, depending on whether you want therapy for yourself or your children.

Note: If you're a parent and have more than one child you want to bring to therapy, you will need to do a separate intake form for each child. Also: Children ages 18 or over are legally adults, and must be responsible for their own therapy.
Intake Form for Adults
Intake Form for Minors

Either way, ALL clients also need to fill out the ​Informed Consent and Notice of Privacy Practices.
Informed Consent and NPP

If you're bringing a child to therapy who is 12 or under, I'll also need your signature on the Play Therapy Logistics​ form. This form has helpful information for parents about your part in your child's therapy.
Play Therapy Logistics


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  • Home
  • Let's Chat!
  • First Session
    • Office Tour
  • About Me
    • About Office Manager
  • Why "TrueHearted"?
  • Services
  • FAQs
  • Resources