Forms/Portal

Client Portal

Click the link to the Client Portal above to schedule, cancel, or request a change to your appointment. This is also how you will log in for telehealth/virtual appointments.

Here is where you will access your initial paperwork to complete before our first appointment.

Don’t worry! It is HIPAA protected, confidential, secure.

Here is the paperwork that will be started during the phone consult and/or sent through the portal to be completed PRIOR to your intake appointment:

Client Contact Form—Contact information for your emergency contacts, family, physician

Client History Form—Details of why you are coming in for therapy. You will need to complete this and send it back.

Client Information Form—Your basic demographic information, address, phone, etc.

Client Insurance Form—If you do not have insurance or you are choosing not to use your insurance, you will need to click the box to opt out. If you are using insurance, you will enter all of your policy information here. *Signature required*

Payment Authorization—This is where credit card information is entered into my secure system. *Signature required*

Consent for Services—This form explains the risks and benefits of treatment, policies, fees, and you will sign to consent to be treated. *Signature required*

Notice of Privacy Practices—HIPAA information that you need to review and sign. *Signature required*

ROI (Release of Information)—This is an optional form allowing me to share information of your choosing with another person or provider, typically your family physician or psychiatrist/nurse practitioner. *Signature required* See notes below

Group Consent—This is an optional form for women participating in SPARK Women’s Group. *Signature required* See notes below

How to sign online forms:

Click on the document and select “view”

Click the button at the top of the screen with an arrow pointing up, and then select “markup”

Then click on the pen and sign your name and write in initials. Also note the undo button if you make a mistake.

You should be able to save and upload it back to the portal. Please let me know if you have any issues.

Don’t miss out on something that could be great just because it could also be difficult.