Client Forms/Assessments

Intake Form: Please click here to download your intake paperwork. Please bring it completed to your first visit.

HIPAA Privacy Practices Form:  Please click here to view our privacy practices. You are welcome to print these out if you wish.

Disclosure Statements:  Please click the clinician name below to view their individual disclosure statement.
Jolie Lucas, CEO, LCSW


Mental Health Screenings

How do you Mind Your Health?
Taking a screening test is one of the quickest and easiest ways to determine whether you are experiencing symptoms of a mental health condition. These assessments are on the Mental Health America Website.  They are intended for adult use only.  You may wish to complete an assessment and share the results with your therapist upon intake.

Did you know that...

• About 1 in 5 American adults will have a mental health condition in any given year?
• But only 41 percent of them will receive services?
• About 10 percent of the American adult population will have a mood disorder, such as depression or bipolar?
• And 18 percent have an anxiety disorder, including post-traumatic stress disorder?
  
  Take a self-assessment screening here.  http://www.mentalhealthamerica.net/mental-health-screening-tool