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    • Home
    • Services
    • Ways I Can Help
    • About
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  • Home
  • Services
  • Ways I Can Help
  • About
  • Rates & Insurance
  • Location & Directions
  • Client Forms
  • Contact
  • Great Articles
  • Resources

Clinical Forms

valley center counselor, psychotherapist: depression, anxiety, stress, relationships, anger, sadness

Please download the forms relevant to your circumstances as follows: Complete Form 1 and 2.  If you are using Anthem/EAP insurance, sign Form 3. If this will be online therapy, sign Form 4. Read Form 7 and acknowledge by signing Form 6.


Either bring the completed forms to your first session or scan and email them to: michael@mkarpcounselor.com.


If you have any questions or run into any difficulties, feel free to call, text or e-mail me. 

Clinical Forms to Download

1-ADULT INTAKE PACKET (pdf)

Download

2-Welcome (pdf)

Download

3-Insurance Agreement (pdf)

Download

4-Telemedicine Consent (pdf)

Download

5-Questionaire-sPaCE (pdf)

Download

6-Privacy Practices receipt-Texting (pdf)

Download

7-Privacy Practices (pdf)

Download

Copyright © 2018 Michael Karp, LMFT, LPCC - All Rights Reserved.

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