Forms

If you are preparing for your first session, you can print and complete these forms and bring them with you to our meeting to help us get started on time. Of course, we will have time to discuss any questions or concerns you have when we meet.

Informed Consent

Background and Personal History

Notice of Privacy Practices (HIPAA)

About Jennifer Brosenitsch and Counseling

Financial Agreement

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.)