Forms for Initial Session

If you are a new client, that has a confirmed scheduled appointment, 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: HIPAA Notice For review. No need to be signed

Senior Clinicians Forms: If you are seeing any of these providers, print these forms along with their disclosure.

Adult Intake Forms (18+)

Adolescent Intake Forms (13-17)

Child Intake Forms (to age 12)

Senior Clinicians Disclosures:

Cary McAdams Hamilton, LMHC, CMHS, RPT-

Carrie Pipkin, LMHC, CMHS,

Dawn Toney, LMHC, CMHS

Katrina Swenson, LMHC

Sandra McLeod, LMFT, RPT

Sarah Moran, LMFT

 

Professional Associates Forms: If you are seeing any of these providers, print these forms along with their disclosure.

Adult Intake Forms (18+)

Adolescent Intake Forms (13-17)

Child Intake Forms (to age 12)

Professional Associates Disclosures:

Lisa Brawn, MA, LMFTA

Ruyman (Rudy) Hernandez, MA LMHCA

Amber Parker, MA, LMFTA

 

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

 

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