Client Forms

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Once you have scheduled an appointment with us, please download/complete the following forms and bring them to your appointment. Completing these forms in advance will allow for a more detailed discussion of your issues, concerns, and goals.

Please select the appropriate provider/forms: 

 

• Deborah M. Michel, PhD
  • Adult Clients
    • Notice of Privacy Practices
    • Adult Questionnaire
    • Adult Consent for Treatment
    • Outpatient Services Contract
  • Child/Adolescent Clients
    • Notice of Privacy Practices
    • Child/Adolescent Questionnaire
    • Minor Consent to Treatment
    • Outpatient Services Contract
• Kara M. Merrill, MA, LPC
  • Adult Clients
    • Notice of Privacy Practices
    • Adult Questionnaire
    • Adult Consent for Treatment
    • Outpatient Services Contract
  • Child/Adolescent Clients
    • Notice of Privacy Practices
    • Child/Adolescent Questionnaire
    • Minor Consent for Treatment
    • Outpaient Services Contract
• Bridget McCauley, MA, LPC
  • Adult Clients
    • Notice of Privacy Practices
    • Adult Questionnaire
    • Adult Consent for Treatment
    • Outpatient Services Contract
  • Child/Adolescent Clients
    • Notice of Privacy Practices
    • Child/Adolescent Questionnaire
    • Minor Consent for Treatment
    • Outpaient Services Contract
• Lyndsey Dottavio, M.Ed., LPC-Intern
  • Adult Clients
    • Notice of Privacy Practices
    • Adult Questionnaire
    • Adult Consent for Treatment
    • Outpaient Services Contract
  • Child/Adolescent Clients
    • Notice of Privacy Practices
    • Child/Adolescent Questionnaire
    • Minor Consent for Treatment
    • Outpaient Services Contract