Thank you for choosing to work with me. I look forward to meeting you and collaborating together on improving your situation and addressing your concerns.
Please choose the appropriate forms for your situation, detailed below. Please print the applicable forms (one sided please), read these documents carefully, fill in the requested information, sign them, and bring them with you to your first appointment. If you prefer, paper copies are available by stopping by Mt. Logan Clinic at the address below. These forms provide important information to both of us and serve as a working agreement between us. As you review the forms, if you have any questions or concerns, please contact our receptionist and we will do our best to address those.
- If the focus of therapy is yourself or your relationship with a child, spouse, family member, friend, boss, coworker, etc., but you wish to work on these issues or relationships within yourself, please print, review, complete, and sign the Adult Intake Packet.
- When the focus of therapy is your relationship with a spouse or partner, it is preferable to have both of you attend the first session. At some point, I typically meet separately with each of you. As such, please print two copies of the Adult Intake Packet, so each of you can review, complete, sign, and bring with you one set of these documents.
- If an adolescent (13+) is the focus of therapy, please print the Adolescent Intake Packet. As the parent, please review, complete, and sign these documents, except for the Adolescent Questionnaire, which should be completed separately by your teenager. I prefer to meet with the parents and the adolescent during our first appointment, if possible. Please bring the completed forms with you.
- If the focus of therapy is your child (12 or younger), please print the Child Intake Packet. As the parent, please review, complete, and sign all the documents therein. I prefer to meet with the parents and the child during our first appointment, if possible. Please bring the completed forms with you.
Thanks for your willingness to invest yourself, your time, and your effort in this endeavor. Again, I look forward to meeting with you and working together. Remember, if you have any questions, please contact my receptionist at 435-750-6300 or you can leave me a confidential message at 435-750-6300 ext. 108.