Counseling Forms

Please download the forms below, complete them at your convenience, and bring the printed copies with you to your first session. This helps us make the most of our time together.

Disclosure Statement

Mary Ann's professional disclosure statement outlining her credentials, approach, and counseling policies.

Download

Confidential Information Form

A confidential intake form to be completed prior to your first session.

Download

Fee Agreement and Policy

Information about session fees, payment policies, and scheduling expectations.

Download

HIPAA Form

Notice of Privacy Practices.

Download

If you have any questions about the forms, please contact Mary Ann before your session. Contact Mary Ann