New Client Paperwork

New Client Paperwork

New Client Paperwork

These links will take you to a portal to receive the necessary paperwork. Once loaded, you will be prompted to fill out your full name and email.

Confidential Client Information Form

Credit Card Authorization Form

Outpatient Services Contract


HIPAA Consent Form


Be Seen.
Be Heard.
Be Affirmed.
Be Understood.
Become You.

Individual Counseling
LGBTQIA++ Affirming Counseling
Relationship & Family Counseling

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We welcome any and all questions! For anything that may require a general response feel free to leave a message and we will respond in a timely manner. For questions specifically for our clinicians, please call our office.

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