By downloading, printing and completing this form prior to our first visit, you will save more time for talking rather than paperwork. If you are unable to complete this in advance for any reason, please arrive 5-10 minutes before your scheduled appointment time to fill this out in the waiting room. Thank you.
“Informed Consent” refers to a body of policy disclosures that all licensed mental health professionals are required to provide to the clients they treat. It covers many of the subject areas found elsewhere on my website, and much more. Please take time to review this document and feel free to ask for further explanation. It’s important for you to feel clear and confident about your treatment experience.
Informed consent is for both your protection and the provider’s. Clients need to understand their rights, risks, and responsibilities when entering a therapeutic process, and the Informed Consent disclosure is what makes all of these elements transparent.
Solo practitioners like myself typically do not have the same resources available to respond to emergency situations on a 24/7 basis that larger practices may provide. When clients have reason to anticipate needing immediate crisis intervention support, they are advised to consider seeking treatment at a community mental health center or other agency that offers a more extended range of services for responding to emergencies.
It is my practice to monitor my phone and email messages regularly and respond to emergencies whenever possible. However this is not a service that I can guarantee on a 24/7 basis. If you have an emergency, I will respond to your contact as soon as I am able to, however in the meantime there are instructions on my answering machine and this website for how to access emergency support elsewhere (see below).
When I am on vacation, there will be specific information available on my answering machine for how to access services in my absence.