New Client Forms

Privacy Practice Policy

Notice-of-Privacy-Practices.pdf

Adobe Acrobat Document 82.1 KB

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Child Intake Form

Child Intake Form.pdf

Adobe Acrobat Document 88.2 KB

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No Show/Late Cancellation Policy

No-Show-Late-Cancellation-and-Co-payment

Adobe Acrobat Document 12.1 KB

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Client Questionnaire

Patient-Questionaire.pdf

Adobe Acrobat Document 60.8 KB

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Credit Card/Debit Card Authorization Form

Credit-Debit-Card-Payment-Consent-Form.p

Adobe Acrobat Document 15.8 KB

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New Client Registration Form

Patient-Registration-Form (1).pdf

Adobe Acrobat Document 16.0 KB

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HIPAA RELEASE FORM

authorization-for-release-of-health-info

Adobe Acrobat Document 77.1 KB

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About Me

Janice is a business owner of her own therapy organization, with experience in social work and working with clients from all social aspects with a focus on marriage & family therapy. Janice is fueled by her passion for not only helping her clients overcome difficult situations within their lives, but helping her clients understand the underlying causes that hinder the positive changes that are possible in personal relationships as well as other areas in her client's lives. Her passion for helping others in areas such as marriage and family therapy, is what propelled her towards pursuing further education and receiving her MSW. Janice believes that respect and mindfulness is the key to building effective and Long-term relationships with her clients, which will not only lead to her being successful but her clients as well. Janice is currently working as a therapist in her online only therapeutic organization and is always interested in connecting with new prospects . Reach out to therapeutictherapywithjanice@gmail.com to connect!