Therapy Forms
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Helping to make it easier to take the next step
is the motto for my individual practice
Although it is simple, it depicts the value and importance of the relationship shared between therapist and client. I believe that the decision to move forward in achieving personal peace is fundamental and is accomplished by a collaborative effort. I am here to assist you in becoming more self-aware, confident, and stronger than you may have been yesterday.
As a LCSW with over 21+ years of experience, I have helped children, adolescents, adults, couples and families successfully overcome their challenges so they may return to a happier and peaceful lifestyle. In a warm, safe and friendly environment, I am committed to providing you with the tools you need to achieve positive growth and change. I can return your phone call within the same business day. I can also often schedule your initial appointment within 2-3 days of your inquiry, and I accept cash, check, or credit/debit cards.
Download Forms
Prior to your initial visit, please take a moment to carefully read and complete the following forms:
![](https://kristinewhouse.com/wp-content/uploads/2022/09/7100207_file_report_document_information_form_icon-1.png)
Authorization to Release Information
![](https://kristinewhouse.com/wp-content/uploads/2022/09/7100207_file_report_document_information_form_icon-1.png)
HIPPA Policies & Practices
![](https://kristinewhouse.com/wp-content/uploads/2022/09/7100207_file_report_document_information_form_icon-1.png)
Intake Form
![](https://kristinewhouse.com/wp-content/uploads/2022/09/7100207_file_report_document_information_form_icon-1.png)
Professional Statement of Disclosure
These forms are fillable, but will require Adobe Acrobat PDF reader. This is a free downloadable program.
Once you have completed the forms, please print them and bring them with you to your initial appointment.