For Everyone

Therapy Guidelines & Consent

 

Please read, print, and complete the above, and bring it with you to your first visit.  This includes a social media agreement- relevant to e-mail, text, facebook, linked in, yelp, and twitter communications.

Intake

Please read, print, and complete the above, and bring it with you by your third visit.  

Client Feedback

I welcome your feedback about our work together at any time.  You can communicate this to me in person, and/or use the above feedback from to reflect upon your experience. 

 

For Phone and Skype Sessions

Consent to Phone Sessions

If you would like to receive therapy sessions over the phone, please read, print, and sign the above, and send it to my office. This is a good option for those who live in California, and are unable to travel to my Oakland office.

Consent to Skype Sessions

If you would like to receive therapy sessions via Skype, please read, print, and sign the above, and send it to my office.  This is a good option for those who live in California, and have a well functioning Skype set up.

 

For Coordinating Care

Release

If we have decided that coordinating care with another healthcare provider (medical, therapeutic, or holistic) would be beneficial to our work, please read, print, and complete the above, and bring it to your next session.

For Reduced Fee

Fee Agreement

If you are receiving therapy for a reduced fee, please read, print, and sign the above, and bring it with you to your first visit.

 

For Recording Sessions

Consent to Audiotape

If you would like your therapy sessions to be audiotaped, and more closely reflected upon by me, read, print, and sign the above. Please bring it with you to your next session. 

Consent to Videotape

If you would like your therapy sessions to be videotaped, and more closely reflected upon by me, please read, print, and sign the above.  Please bring it with you to your next session. 

 

 

 

 

 

 

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