Forms & Documents
Prior to your session, please complete the following forms:
For All Clients
Mandatory Forms:
HIPPA: HIPAA Agreement
Individual Symptoms Checklist : Individual Checklist
Informed Consent : Informed Consent
Professional Fees : Professional Fees
Legal Policy: Legal Policy
Email Policy: Email Agreement
TeleHealth Consent: TeleHealth Consent (only if doing online sessions)
Complete one for your specific service:
Adults: Individual Adult Questionnaire
Couples: Relationship Questionnaire (Note: each individual completes a form)
Adolescents: Adolescent Questionnaire
Families: Family Therapy Questionnaire
Parents of Minor: Policy Regarding Working With Minors
Wellness Program: Wellness Intake Questionnaire
For Group Sessions
HIPPA: HIPAA Agreement
TeleHealth Consent: TeleHealth Consent
Group Informed Consent: Download Form
Quiet Waters Podcast
Quiet Waters Release Form: Release Form