Paperwork

If you are a new client, welcome! Before our first session, please print and fill out the following forms. After the forms are complete, you can either scan them and send them back to me via my HIPAA compliant email at mallorie@theotherroadcounseling.com, or you can fax them to me at 855-217-8024.

Intake Paperwork

Releases of Information

Privacy Practices

%d bloggers like this:
search previous next tag category expand menu location phone mail time cart zoom edit close