for my clients

 

Each of the forms on this page are designed to help make your therapy more effective. Please download the appropriate forms that I have asked you to complete. Your responses are held in confidence.

 

To assure confidentiality, do not email your email your completed forms. Confidentiality cannot be assured if you transmit them using electronic or digital technology. Please bring your completed forms with you when we are scheduled to meet.

 

If you have any questions, about which form(s) to complete, please call me at (425) 247-1880 or email me. I welcome your call.

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Initial Consultation Form

Therapy Agreement 

Relationship History

General History

Relationship Satisfaction Screen

Sexual History (Men)

Sexual History (Women)

Patient Health Questionnaire

Adult ADHD Self-Report Scale

Release Of Information 

Credit Card Authorization

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If you are an Anywhere Coaching client seeking forms and other information, click here.