Davis Affordable Professional Counseling

It is best to speak with me first to know what forms are appropriate for you. 

 

Per our phone conversation, please find the links to the forms below and click on the links to begin the process of reading and signing these necessary forms. Please bring them into our first session. If for some reason you could not print these documents, please let me know 24 hours in advance from our appointment and I will have them in the waiting area 30 minutes before our session starts.

If we have scheduled telehealth sessions, please email or fax the signed forms back to me no later than 7am on our appointment date: , fax: 530-231-8886 

 

For Adult Individuals:

• Agreement for Services-Adult Individual

• Goals

• Intake-Adult Individual

• Telehealth Services Agreement

• Informed Consent for In-Person Sessions

• Privacy Practices (read only-no need to bring in.)

 

For Couples:

• Agreement for Services-Adult Couple

• Intake-Couple

• Telehealth Services Agreement

• Informed Consent for In-Person Sessions

• Privacy Practices (read only-no need to bring in.)

 

For Families with Minors:

• Agreement for Services-Families with Minors

• Intake-Family with Minors

• Telehealth Services Agreement

• Informed Consent for In-Person Sessions

• Privacy Practices (read only-no need to bring in.)

 

For Pre-Engaged/Pre-Married Counseling:

• Agreement for Services-Adult Couple

• Intake-Pre-engagement and Pre-married Couple

• Telehealth Services Agreement

• Informed Consent for In-Person Sessions

• Privacy Practices (read only-no need to bring in.)