I want to thank you for scheduling an intake or consultation appointment
to discuss your goals for therapy. I look forward to learning about you
and what you would like to get out of therapy. After listening and
asking a variety of questions, I will share my impressions of how I may
provide this help, or Iíll give you the names of other providers or
resources in the area that may better meet your needs.
prior to coming to your first appointment, I would like for you to read
over and sign my Office Policies and Service Agreement. Being
familiar with these policies when you arrive will save time at the
beginning of our meeting. I will e-mail forms to you, to complete
at your leisure. I would be happy to send them to you by mail.
Alternatively, I can provide these forms on a clipboard in the waiting
room for you to fill out and review before your appointment.
Again, I prefer for you to review and complete the forms prior to coming
in as you will be less rushed before we meet, so if you decide to review
them in the waiting room, please arrive 20-25 minutes ahead of time.
Please fill out all client information, read the details of each policy,
and bring them into the office. If you wish, you may
wait until we meet in person to sign the forms so that we may discuss
them and answer any questions you have.
Please bring copies of as many of the
following documents as possible. Some may not apply, and thatís
fine. If you are not able to make a copy in advance, I can do so
in my office. Psychological, Neurological, or other relevant
Testing Reports. List of Current Medications or Prescriptions (including
dosages). Names/Contact Information of current and former therapists and
psychiatrists/physicians who prescribed psychotropic medications. Dates,
Places, and Discharge Summaries of any psychiatric hospitalizations.
A copy of your Insurance card (front and back) or information.
Also, please printout and complete the following forms to expedite your
Adult Mental Health
If you do not have, or need to update your version of Adobe Reader,
If you are the parent of a child or adolescent that you wish for me to
evaluate or treat, please bring the following: Educational
Cumulative File, including IEP evaluations and Educational testing
reports (request this from your childís school). Divorce/Custody Decree
(if childís parents are divorced). Names/Contact Information of current
social workers, case managers, probation officers, etc. (if applicable).
There is always a great deal to discuss during a first meeting, and
the more information youíre able to provide, the more Iíll be able to
factor into my initial impressions. If you have any questions
prior to our appointment, please contact me. Iíll be happy to talk
with you to answer any questions you may have.
Thank you again
for setting a time to come into the office. I look forward to meeting
you in person!