If you’d like to review our consent forms, click on the form name below. If you choose to set up services, you will complete these forms electronically through a client portal. Therefore, you are not required to print these documents. They are listed here for informational use only.

HIPAA Consent Form

Informed Consent Form

Private Pay Consent Form

Financial Agreement Form

Telehealth Consent Form

Online License Verification - Ohio Counselor, Social Work, Marriage and Family Therapist Board: https://cswmft.ohio.gov/Online-License-Verification

I am now registered as a Telehealth Provider in the State of Florida and south carolina!

https://flhealthsource.gov/telehealth/

https://llr.sc.gov/TeleHealth/Counselor.html