Please download and sign all documents. All documents must be returned to Massengale Counseling prior to the first session.
This form provides me with your identifying information, such as name, age, date of birth, and other items.
HIPAA & Privacy Practices
This form provides you with all the legal information surrounding your personal information and how it will be maintained.
This form explains other aspects of our encounters including canceling sessions, no-show fees, social media, and other telecommunication.
Release of Information Consent
Please use multiple copies for multiple releases. This form provides me with permission to release specific documents or communicate with specific individuals about your treatment.