Patrick B. McGinnis, PhD, LMHC

Psychotherapy for Self-Actualization and Prosperity Coaching

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Forms

Intake forms must be completed before the first session. You may complete them in advance and bring them with you (click to download or view and print), or complete them before the session in my office (I will supply copies). All new clients must complete the General  Information Packet, These forms are optional Release-Obtain Confidential Information - Adult, or Release-Obtain Confidential Information - Child, but if you know you will have to complete one (for probation, etc.) you may wish to do so in advance.

 

You will need Adobe Reader Installed on your computer (most have it installed by the manufacturer), just click the link and it should open.


If it does not open, you can also (right-click) and save the file to your computer and then open it with  Adobe Reader.
If you do not have Adobe Reader, you an obtain it free at: http://www.adobe.com/products/acrobat/readstep2.html

 

Distance Counseling Forms (Telephone, Web Cam or Email)

Intake forms must be received before (or at the beginning of) the first session. You may download them (Word Form format) complete and save them then and email the forms  to me. All new clients must complete the General  Information form for Email, Memo of Understanding for Email, Fee Schedule - for Email, and the HIPAA Notice for Email. These forms are optional Release-Obtain Confidential Information - Adult, or Release-Obtain Confidential Information - Child, but if you know you will have to complete one (for probation, etc.) you may wish to do so in advance-they have to be witnessed and sent to me by regular mail.

 

 

 

 
Hit Counter Last modified: 07/20/14