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Helpful Info & Forms

Please feel free to download the following forms.  The first four selections are necessary to begin therapy, so you may complete and bring them to our first appointment.  Otherwise, I can email them to you in advance, or you can get them at my office 15 minutes before our scheduled appointment.

PLEASE NOTE THAT THE BUSINESS ADDRESS & EMAIL ADDRESS ON THESE FORMS MAY BE INCORRECT.

THE NEW BUSINESS ADDRESS IS:  6021 SOUTH SYRACUSE WAY SUITE 201, GREENWOOD VILLAGE, CO  80111.  MY EMAIL ADDRESSES ARE [email protected] FELLERSTHERAPY.COM OR [email protected]


 

Client Information Form Essential Information & Payment Contract
Disclosure Form Rights & Responsibilities In Therapy
HIPPAA Confidentiality Rights in Therapy
   
Release of Information Permission to Share Information
Client Satisfaction Survey Confidential Feedback Re: Treatment Quality
EMDR Brochure Description of EMDR Treatment
EMDR Brochure For Children Description of EMDR Treatment for Children
What Is Brainspotting Comparison of EMDR & Brainspotting

Note: To download Adobe Acrobat Reader for free, click here.

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Helpful Forms

Click here to view and print forms for your appointment.

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