Mylestone Counseling
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Client Forms

If you're a new client, please complete the following forms and bring them to your first therapy session. If you prefer to fill them out at my office instead of downloading and filling them out beforehand, please arrive at least 20 minutes prior to your scheduled appointment. This will allow you time to fill out the paperwork before we meet together.

          Client Intake Form

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), please complete this form to authorize release of psychotherapy information:

 
Authorization to Disclose Information Form


Mylestone CounselingAbout the TherapistCounseling ServicesClient FormsSchedule AppointmentsRates & PaymentsCommunity OutreachContact UsInternship OpportunitiesFAQ'sCounselor Evaluation