If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Informed Consent (Penny)
- Informed Consent (Teresa)
- Adult Individual Intake Form
- Adult Self-Rate Form
- Family Intake Form
- Couples Intake Form
- Minor Intake Form
- Minor Informed Consent
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
A sliding scale is available for clients seen by Teresa. The sliding scale only applies to clients being seen in the Everman office. Please contact firstname.lastname@example.org for more information regarding sliding scales.
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