Forms for Initial Session

If you are a new client, whether interested in child counseling, play therapy, couples therapy or other types of therapy, please complete the following forms and bring them with you to your first session. Filling these out in advance will help decrease paperwork time and allow more time for initial evaluation.

General Forms:

Child Intake Forms  (Children 12 years & younger)

Adolescent Intake Forms (Children 13-17 years)

Adult Intake Forms (18 years +)

HIPAA Notice For review. No need to be signed

 

Clinical Disclosures: please print & sign the appropriate disclosure

Senior Clinicians Disclosures:

Cary McAdams Hamilton, LMHC, CMHS, RPT-S

Please print & bring with you to see Cary.

Dawn Toney, LMHC, CMHS

Please print & bring with you to see Dawn.

Katrina Swenson, LMHC

Please print & bring with you to see Katrina.

Lisa Thompson, LMHC

Please print & bring with you to see Lisa.

Sandra McLeod, LMFT, RPT

Please print & bring with you to see Sandra.

Binky Walker, LMFT

Please print & bring with you to see Binky.

 

Professional Associates Disclosures:

Sarah Moran, LMFTA

Please print & bring with you to see Sarah.

Lisa Brawn, MA, LMFTA

Please print & bring with you to see Lisa.

Diana Cockrell, MA, LMFTA

Please print & bring with you to see Diana.

Abby Gross, MA, LMHCA

Please print & bring with you to see Abby.

Ruyman (Rudy) Hernandez, MA LMHCA

Please print & bring with you to see Ruyman

 

Intern Disclosure:

1534 Bishop RD SW

Tumwater, WA 98512

 

Call Us:                Fax Us:

360-357-2370       360-357-2374

 324 S Main St Suite B, Montesano, WA 98563

 

© 2019 Olympia Therapy PLLC.