singlesunflower
singlesunflower Robyn Howisey, LMFT singlesunflower
singlesunflower
singlesunflower Empowered counseling for children, teens singlesunflower
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 Forms

READ THESE:
I am required to provide you with my disclosure statement and notice of privacy practices. In an attempt to save some trees, I've made these available below for you to read via pdf. You will be required to sign a separate acknowledgement that you have read both of these documents. (sorry...it's a lot of reading)

Notice of Privacy Practices

Disclosure Statement
 

PRINT AND BRING TO SESSION:

Child/Teen Client Information or Adult Client Information

 

IF THIS APPLIES TO YOU:

Disclosure - Divorced Parents of Child Clients

ROI If you would like me to have contact with your child's physician, school, or any other professional, complete this Release of Information (ROI)

Teen Feelings Tracker/DBT Diary Card

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Robyn Howisey, MA, LMFT
Rates & Insurance