Specialized Counseling for
Fertility Issues, Perinatal Support & Grief
At the time of scheduling your initial session, you will be invited to Patient Ally to complete the initial paperwork prior to your first visit. The forms are available here for you to reference and will be reviewed with you during the initial session. Self rated scales may be completed in the first session based on the nature of your issues to best understand how therapy may be of assistance for you. The subsequent sessions will be tailored to meet your counseling needs and life goals.
New Client Information and History Form
Release & Obtain Information between Chartreuse Center and another Provider
Informed Consent for Counseling
Art Therapy Agreement
Notice of Privacy Practices