James E. McKeever, PhD.
To assure that you are fully informed about the
nature of your therapist's practice, to protect your confidentiality, and
to access information that may be useful in making our time together most
efficient, we are putting in this section downloadable copies of the forms
most frequently used in our practice. Not all the forms will be relevant
to your particular situation, but this will make them more available to
you if/when you and your therapist together decide, for example, to request
records from prior treatment or to communicate with a physician who might
be prescribing medications. Of
all the forms listed in this section, the only one we strongly encourage
you to read before your first session is the Patient Therapist Agreement,
so you have time to consider the information before you decide to proceed. You
will need Adobe Acrobat Reader to download a printable copy of the form.
If you do not have Adobe, just click on the link below to download and install
a free copy.

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Patient
Therapist Agreement
Insurance
Form
Primary
Care Contact Authorization Form
Information
Release Authorization Form |