NEW CLIENT FORMS

Please print out and complete the following forms to bring with you to your first appointment. 

Alternatively, please arrive 10-15 minutes early for your appointment and I will have these forms waiting for you at my office when you arrive for your first session.  If you have any questions or are uncomfortable completing or signing, please leave those portions blank and we can discuss further at our first session.

 

 

 

 

 

 

 

 

 

"What lies behind us and what lies before us are tiny matters, compared to what lies within us."

-Ralph Waldo Emerson

For clients under the age of 18 years, parents and/or guardians must complete and sign a Consent for Counseling of Minors: 

If you would like for me to communicate with another provider (e.g., therapist, psychiatrist, doctor, school counselor, etc), please complete a Release of Information form.

 

Tel 720.988.5620​   Fax 720.316.6740  |   5808 S. Rapp Street, Suite 120, Littleton CO 80120 

​© 2016 Phoenix Rising Holistic Psychotherapy & Wellness, LLC.  All rights reserved.