Client Forms
Forms –
- Teletherapy Informed Consent Agreement (Please complete and return to therapist if participating in Teletherapy during the COVID health crisis)
- Social Media Consent
- New Client General Information Form
- Notice of Privacy Practices
- Counseling Informed Consent
- Insurance Treatment Agreement & Insurance Release
- Counseling Rights, Guidelines, & Responsibilities
- Child Checklist of Concerns
- Agreement To Pay For Services
- Agreement for parents
- Adolescent Privacy Policy
- Release of Information
All forms need to be completed and returned to therapist on date of first scheduled appointment or prior to scheduling. Forms can be scanned and emailed to narcounseling@gmail.com or faxed to 208-908-0058
Please note – Neither email or fax are guaranteed to be secure and confidential. Please read the documents above addressing email and other forms of web based communication prior to sending completed forms containing sensitive information.
If you have questions regarding which forms you will need to complete based on your personal therapy needs and circumstances, don’t hesitate to contact Nekane Arrieta-Resnick, LCPC.
Please contact Taber at ritterandresnick@gmail.com to obtain the intake forms.