Paperwork

If you're a new client, please complete the following forms and bring them to your first therapy session.

New Individual Client (18yrs +):
- Disclosure Agreement
- Individual Client Psychotherapy Intake Form
- Limits of Confidentiality
- Cancellation Policy

New Individual Client (under 18yrs):
- Disclosure Agreement
- Intake of a Minor Form
- Parent/Garden Consent of a Minor
- Limits of Confidentiality
- Cancellation Policy

Family Therapy: (This includes couples therapy)
- Disclosure Agreement
- Family Psychotherapy Incake Form
- Parent/Garden Consent of a Minor (if it applies)
- Limits of Confidentiality
- Cancellation Policy

Group Therapy:
- Disclosure Agreement
- Group Confidentiality Contract
- Individual Client or Family Psychotherapy intake Form
(choose the best one that applies)
- Limits of Confidentiality
- Cancellation Policy

Click on the following to download form:

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:


Your Feedback is valued: Earn a discount by filling out and returning this form to robertcrousetherapy.com.

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


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Helpful Forms

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