Intake Forms and Policies
If you’re a new client, I will ask you to sign the following forms. These forms outline the scope of our work together, my policies and fees, and include the required federal and Washington state disclosures. You can read them here:
- Counselor Disclosure and Informed Consent : This is the description of how we work together and my specific policies for doing so.
- Consent to Record : As part of my supervision, I ask for your consent to record sessions. It is optional and enhances my competence and your care.
- Technology Assisted Counseling : I currently only provide telehealth counseling, so this describes limits and regulations around telehealth.
- Audio-Only Telehealth Billing Consent Addendum : This allows us to use a phone as a backup if our video telehealth fails for some reason.
- Privacy Policy : This is a boilerplate Privacy Policy from Shelterwood.
Once you have signed those, you can optionally give me some background about yourself and take some assessments. You can learn about which assessments I use and why at How We Start . You will receive the link for signing these documents as well as the intake form and assessments after booking an intake appointment.
If you want me to release your records to you or someone else, fill out this form: