FORMS
These forms will help you be prepared for our first appointment.
Please take a look at the policy statement, which will clarify details about payment, cancelation charges, and so on. We'll go over this at your first appointment.
Please consider completing the personal history form prior to your first appointment. This form allows me to meet you already understanding something about your past and current challenges, and your resources, strengths and goals. This makes it easier to connect with you based on the inspiration and needs of the moment, rather than missing or taking time to gather important context.
If you prefer to complete only certain sections of the form, to discuss these things in person, or to fill it out over time as we get to know one another, that's also possible.
To complete the history form, make a copy on your desktop, and type in your answers, saving as you go. You can then e-mail the form in advance to ann@deepriverinc.com, or drop it securely under "documents" at Theralink , or print it out and bring it to your first appointment.
- Personal History Form (PDF)
- Policy Statement (PDF)
- Privacy Policy/ HIPPA regulations (PDF)
- Release of Information Form (PDF)