Forms

If you have scheduled your first appointment, you will receive an email with a link to these forms for you to complete.

Informed Consent

Background and Personal History

Notice of Privacy Practices (HIPAA)

About Jennifer Brosenitsch and Counseling

Safety Plan

Contact and Social Media Policy

Consent to Release Confidential Information:
(permission to share information with/receive information from your other counselors, psychiatrists, doctors, etc.)