Please print out and complete one for each adult/teen attending.
Please print out if bringing your child for therapy. Complete one for each parent.
This provides written permission for me to communicate with someone else regarding private information, such as previous therapists, health providers, family members, etc. 
This form contains information about me, my fees, client rights, and confidentiality.  Please print this and bring it to your first session.
Sam Stevens, MS, LMFT
Counseling for Adults & Adolescents
Couples, Families, Individuals, New Fathers' Group