Counseling 1-2-1 LLC

Helpful Counseling Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize the release of psychotherapy information:

Schedule Appointment

Start your new path in life and be
the change today!

Links & Resources

View recommended websites
and other valuable resources

Helpful Forms

Click here to view and print
forms for your appointment