The following PDF forms may be downloaded by clicking on a link below (in the DOWNLOADS section) and then viewed with Adobe Acrobat.
First Step: Before our initial get acquainted meeting, please download this one page form by clicking on the link below: "Initial Get Acquainted Meeting," and then print and fill it out. Please bring it when you come. -- note during COVID I offer telehealth services --
After we meet either on the phone or in person, or if you want more information before we meet please click this link and download: "Idaho New Client Packet 2021". It provides the paperwork I will need from you for us to get started if we decide to do therapy. It includes an Informed Consent Form with more information on my background, how I do business, fees, and what your rights and responsibilities are. It also includes a two page Intake Form that you will need to fill out, as well as an Acknowledgement of Privacy Practices. If you don't have time to read the packet and fill it out at home, we might be able to arrange for you to come 30 minutes early to a session and fill it out, or else we'll need to use our session time to review and fill out the forms. If you need me to email or snail-mail you the packet ahead of time, I can also do that. If you intend to use insurance for one of the panels I'm on, please download and fill out "Redeeming Hearts Client Insurance Info" and bring it to our first session.
Likewise, my privacy practices (for Idaho) is found in the file: "Redeeming Hearts Notice of Privacy Practices". I can also have a hardcopy of these forms printed out at my office if you request a hardcopy.
I have closed my practice in Pullman, WA. For those looking for some possible therapists in Pullman, below is a list of some possibilities. It is incomplete: "Some Pullman Therapists Sept 2018". My Pullman "Notice of Privacy Practices" is available by clicking on the link below and downloading "Old Pullman Notice of Privacy Practices".
-- New Life from the Ashes.
The following PDF files may be downloaded: