New & Current Clients

newandcurrent_headerimg© Dee* | Stock Free Images & Dreamstime Stock Photos

Below you will find forms and other information you may need prior to your first appointment. Your counselor will indicate which forms will be helpful prior to your first appointment.  Just click on the form that your therapist has requested that you fill out.  Download the form, print it out and read it or complete it.  Then bring it with you to the first appointment.  Contact your therapist if you have any questions.  If not, we look forward to meeting you in person soon.

Dr. Sandra Varley, LPC:
Acknowledgement of Receipt of Notice of Privacy Practices
Electronic Payment Authorization
Authorization for Release of Information
Information, Rights, Responsibilities
Privacy and Office Policies

Larry Kerrigan Ph.D.
Personal Data Form
NPP
Not of Rights and Office Procedures
Signature Page