• Home
  • About
  • Services
    • Trauma Informed Therapy for Individuals and Families
    • EMDR
    • Elder Adults
    • Chronic and Terminal Illness
  • Getting Started
    • Rates and Insurance
    • Forms and Client Portal
  • Blog
  • Contact

FORMS AND CLIENT REGISTRATION

These forms are placed here for ease of access. Please download, print and sign the required forms to bring with you to your first session.

If you chose to, you can utilize the client portal to access these same required forms and electronically sign them, eliminating the need to print them yourself. I can provide you with a printed copy when you come in for your session so you can avoid printing costs if you utilize the client portal. 

Required Forms 

informed_consent_for_psychotherapy.pdf
File Size: 192 kb
File Type: pdf
Download File

notice_of_privacy_practices.pdf
File Size: 126 kb
File Type: pdf
Download File

receipt_and_acknowledgement_of_npp.pdf
File Size: 120 kb
File Type: pdf
Download File

social_media_policy.pdf
File Size: 122 kb
File Type: pdf
Download File

receipt_and_acknowledgment_of_social_media_policy.pdf
File Size: 120 kb
File Type: pdf
Download File

client_intake_questionnaire.pdf
File Size: 57 kb
File Type: pdf
Download File

client_demographics_and_registration.pdf
File Size: 25 kb
File Type: pdf
Download File

Optional Forms 

authorization_for_electronic_communication.pdf
File Size: 113 kb
File Type: pdf
Download File

authorization_for_release_of_mh_information.pdf
File Size: 110 kb
File Type: pdf
Download File

brochure.pdf
File Size: 77557 kb
File Type: pdf
Download File

authorization_for_release_of_sa_information.pdf
File Size: 121 kb
File Type: pdf
Download File

Client Portal

If you are a new client and would like to register for the client portal services from Theranest, you can click the sign up link below. By signing up for a portal account, you will be able to sign each intake form electronically, eliminating the need to download and print forms. You will also be able to enter your demographic information and fill out the initial questionnaire in the client portal. Once you have completed the forms, you can see the calendar and self schedule an appointment. The client portal is convenient and easy to use, but it is NOT required. 
Picture
Picture

Location

Connect with kristin

The best way to connect with me for an initial consultation is to call. It's free and it will give us each the opportunity to learn more about each other, allowing us to make an informed choice about working together. I look forward to your call. Email is not secure and I discourage it for that reason.

If you do decide to follow me on social media, please know that these are professional accounts and you should view my social media policy prior to doing so.

Contact Us

  • Home
  • About
  • Services
    • Trauma Informed Therapy for Individuals and Families
    • EMDR
    • Elder Adults
    • Chronic and Terminal Illness
  • Getting Started
    • Rates and Insurance
    • Forms and Client Portal
  • Blog
  • Contact