New Client Documents | Patricia Murphy Rae, LCSW, IMDHA

NEW CLIENT DOCUMENTS · ADULTS & YOUNG ADULTS

The following forms are here to help you get started.

Please download, print, sign and send me the forms via email or phone (you can photograph the completed documents to send via text, or scan or photograph the completed documents to send via email) before your first appointment so that we can get right to work.

Client Information Form
Client Informed Consent
Notice of Privacy Practices
Depression Anxiety Stress Scale
Anxiety and Depression Questionnaire
Private Practice Policies

If there is a doctor, previous therapist, or someone else that might have information helpful for your assessment and/or treatment, please fill out this form and return it to me to allow us to confer.

Authorization to release confidential info to Patricia Murphy Rae

If you would like for me to communicate with a doctor, therapist, or anyone else with regard to your assessment or treatment, please fill out this form and return it to me.

Authorization to release confidential info to Patricia Murphy Rae