Intake Forms

Please choose the appropriate form below and print it and fill out before your initial appointment. Bring a hard copy with you and you will sign it at the start of the session to acknowledge the legal and policy agreements of the therapeutic contract. Additionally, Please review the Professional Disclosure, HIPAA Privacy Notice and Electronic Communications Waiver. (All forms are in Adobe .pdf format). You will find clear directions to my website on the "Contact" webpage of this website.

Other Forms

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Phone: 541.728.0636

Email: kenny@kennywolford.com