Dear Clients,

Please print the following three forms and bring them to your first visit.

1. The first is a New Client Data form that asks a number of questions about the issues that bring you to therapy and a few identification questions. Please complete all of the questions that you are comfortable answering.

2. The second is a document that details HIPPA rules which describe my responsibilities regarding protecting your privacy. Please read the document and sign and date it.

3. The third document is a Psychotherapy Client Services Agreement that describes my fees. cancellation policy, and how I manage my practice. Please read the document and sign and date it.

Completing these document ahead of time, at your convenience allows, us to spend all of our time in the first session focused on beginning treatment.

Thank you,

Steve Heymen, PhD