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|
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