Forms & Handouts
Prior to your initial appointment I will inform you of which forms you'll need to complete. Please have the required forms completed when you arrive to your first session.
Required Forms
Disclosure Statement
HIPPA Privacy Rights
Intake Form For New Client - Individual
Intake From For New Clients - Couples
Intake Form For New Client - Child (& Parents)
New Coaching Client Paperwork
Other Forms
Chose to Live Contract
Couples Satisfaction Survey
Consent for Release of Information
Family Genogram
Family Questionnaire
Grounding & Reflection Prevention Worksheet
Healing Separation Agreements
Healing Separation Explanation
Specific Symptom Inquiry
Stress Questionnaire
Treatment Action Plan
Handouts on Addiction, Recovery & Behavior Change
12 Traditions of CODA
Event Cycle
Stages of Change
Tools to Combat Isolation
Handouts on Food, Health, Eating Disorders & Body Image
10 Key Ideas About Dieting
20 Ways to Love Your Body
Barbie Facts
Drink More Water
Water vs. Cola
Handouts Designed for Women (But Also Useful for Men)
16 Steps for Discovery & Empowerment
Mistaken Traditional Assumptions
Woman's Guide to Claiming Power in Word and Action
Your Legitimate Rights
Handouts about Relationships
12 Roadblocks to Listening
Basic Styles of Relationship Dysfunction
Feedback in Communication
Kahlil Gibran on Friendship
Kahlil Gibran on Love
Kahlil Gibran on Marriage
Other Handouts
3 Stages of Initiation
The Artists Creed
Chemical Benefits of Meditation
Just For Today
Kahlil Gibran on Work
Making Healthy Step-families
Rocks, Pebbles, Sand - A Story About Priorities
The Thought Manifests as the Word
This is the Beginning of a New Day
To Risk