Client Forms

Client Forms

If you are new, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

Client Intake Form

Information Sheet

Limits of Confidentiality

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information

Ofrecemos servicios de terápia en español.  Favor de llenar la forma de contacto o llámenos a la oficina al 801-930-0411 para hablar con Daniela.

1273 W 12600 S Suite 403

Riverton, UT 84065

801.930.0411

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