“I’m thankful for my struggle because without it I wouldn’t have stumbled across my strength. ”

— Alexandra Elle

There are a few online forms which should be completed prior to your first counseling session. Each form will be automatically and securely submitted upon completion.

For Individual Counseling:

Client Information
Medical Information
Agreement for Service
HIPAA Notice of Privacy Practices
Payment Authorization (If sessions will be conducted online.)
Symptom Questionnaire (If sessions will be conducted online.)

For Discernment Counseling, each spouse should complete:

Client Information
Agreement for Service: Discernment Counseling
Symptom Questionnaire
HIPAA Notice of Privacy Practices
Secrets Policy
Payment Authorization (If sessions will be conducted online.)

For Couples Counseling, each partner should complete:

Client Information
Medical Information
Agreement for Service
HIPAA Notice of Privacy Practices
Secrets Policy
Payment Authorization (If sessions will be conducted online.)
Symptom Questionnaire (If sessions will be conducted online.)