TRUE SPACE

Patient Forms

These are the forms necessary for our first appointment. Please review and complete them before our first meeting. If you prefer, I can provide you with printed copies for you to complete in the office. If this is your preference, please arrive 30 minutes early for your appointment.
 

Agreement for Therapy

This is the agreement for therapy services I will ask you to complete before we being working together. Please feel free to ask questions before signing this agreement.

 

HIPAA

This notice describes how psychological and medical information about you may be used and disclosed and how you can access this information. Please review it carefully. You do not have to print out this form.

 

Intake Form

Please complete the intake form which will help me get a better understanding of the concerns that bring you to therapy. Bring a hard copy with you to our first appointment.

 

Symptom Measures

These forms help us get a better understanding of how you have been feeling and the severity of your symptoms.

 

Credit Card Authorization Form

Please complete this form so that we have a credit card on file. We will not charge your card without verbal or written consent.