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Forms

 

All of these forms are in Adobe Acrobat (.PDF) format.  You must have Adobe Reader installed to open them.  If you do not have that free software, please download it from the Adobe.com website by clicking on the icon below:

When you click on the form below, you have an option to "Open" the document, or to "SAVE" the document.  I recommend that you SAVE the document to your computer.  After leaving this website, you can open the document on your computer and print the form.

If you are a parent preparing for an intake session for a child or adolescent (ages birth to 18), please download and fill out the Informed Consent Form for Children and Adolescents and the Children and Adolescent Intake Form.  Please note that for intakes for children and adolescents, I spend the first session with the client's parents or caregivers in order to gather background information and get a better sense of the issues that need to be addressed.  I do not meet with the client until the second session. 

 If you are an adult client preparing for an intake session, please download and fill out the Informed Consent Form for Adults and the Adult Intake Form.  

 In both cases, please read and fill out these forms completely.  Be as open an honest as possible in your answers so I can get a better sense of your difficulties and can figure out the best course of treatment.  Please bring the completed forms to the intake session.

 

| How Can You Benefit from Therapy?   |   Individual Therapy   |  Family Therapy  |  Play Therapy |
|
Who I Work With |  About Eric Terry | Fees | About Insurance | Privacy Policy | Contact | Home |


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