If I find in myself a desire which no experience in this world can satisfy, the most probable explanation is that I was made for another world. CS Lewis
  • Home
  • About Jodi
  • Counseling
    • EMDR
    • Counseling Intensives
    • Early Trauma Protocol
    • Biofeedback
  • Contact/FAQ
  • Fees/Insurance
  • Forms
  • Testimonials
  • More
    • Home
    • About Jodi
    • Counseling
      • EMDR
      • Counseling Intensives
      • Early Trauma Protocol
      • Biofeedback
    • Contact/FAQ
    • Fees/Insurance
    • Forms
    • Testimonials
  • Home
  • About Jodi
  • Counseling
    • EMDR
    • Counseling Intensives
    • Early Trauma Protocol
    • Biofeedback
  • Contact/FAQ
  • Fees/Insurance
  • Forms
  • Testimonials

Jodi G. Dunphy, LPC

Jodi G. Dunphy, LPCJodi G. Dunphy, LPCJodi G. Dunphy, LPC

New Client Paperwork

Please complete the initial intake paperwork prior to the first appointment. Completing this paperwork beforehand will allow us to do business efficiently when we first meet. Rather than wading through a lot of paperwork together, we will be able to move quickly into the more therapeutic part of our initial session.

If you have access to a printer, just click on the links, print & complete all forms, and bring them with you to our first session.

If you cannot print the forms, no worries. Call the office to have a packet either mailed to you or schedule to arrive a half hour early, to fill them out in the waiting area. I look forward to meeting you!

Forms

Adult New Client Paperwork (pdf)Download
HIPPA (all new client's print and sign) (pdf)Download
Authorization to keep credit card payment on file (pdf)Download

Counseling Intensives

After scheduling your counseling intensive, Jodi Dunphy, LPC will provide you with a packet of information including paperwork to complete and return before the initial appointment. 


Copyright © 2018 Jodi G. Dunphy, LPC - All Rights Reserved.

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