JESSICA DAVIDSON, M.A., M.S.
Licensed Professional Counselor

FORMS

Please complete the following forms to bring to your child's first session:

Counseling Intake Form​​

Authorization to Counsel Minors

*(15 years old and under)

Adolescent Authorization to Therapy

*(16 years old and older)

HIPAA and Policies Acknowledgment

Client Responsibility for Payment

Documents for your review:

Counseling Policies and Practices

HIPAA Notice of Privacy Practices

Additional Forms:

Release of Information

Litigation Policy