Getting started
A little paperwork now, more time for you later.
If you’re new to therapy or counseling, please fill out the following forms and bring them to your first session. It eases you in and lets us spend as much time as possible on you.
- 01Client IntakeBackground, current concerns and goalsPDF ↓
- 02Client InformationContact and emergency informationPDF ↓
- 03Authorization for Release of InformationOnly if you’d like Cindy to talk with another providerPDF ↓
- 04Limits of ConfidentialityWhat stays private, and the few legal exceptionsPDF ↓
- 05Privacy PolicyHow your health information is protectedPDF ↓
Please bring completed forms to your first appointment rather than emailing them, since email isn’t secure for health information. Questions? See the FAQs or contact Cindy.
West Omaha · 12305 Gold Street
Start looking forward to tomorrow.
Call, text or send a request. Cindy returns messages personally, and for people in crisis she does her best to find an appointment within 48 hours.