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  • Home
  • Our Clinicians
  • Contact & Location
  • Steps to Take
  • Patient Forms

Only in the darkness
can you see the stars.

– Martin Luther King Jr.

Below, you will find forms for some of our clinicians. If your therapist is not listed, they will provide forms directly to you.

LISA DELAPP-THEIS

Intake Form
Medical Insurance Authorization

Kaitlin Goodman

Intake Questionaire
Intake Form
HIPAA Consent
Policy Statement

MICHAEL ROGELL

Intake Form
Intake Questionaire
Policy Statement
HIPAA Consent
Therapy Consent
In Session Excerpt
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