Client Forms

Client Information & Consent Forms

  1. Animal Assisted Therapy Consent & Release Form
  2. Authorization Consent for Use & Disclosure of Protected Health Information
  3. Biopsychosocial Assessment
  4. Credit Card Authorization from Client
  5. Distance Therapy Client Information & Consent – Lois Thomson Bowersock
  6. HIPAA Policy – Lois Thomson Bowersock
  7. HIPAA Privacy Notice
  8. Joint Therapy Consent
  9. Missed Appointment, Late Cancellation Policy
  10. New Client Information & Consent – Lois Thomson Bowersock
  11. Parental Waiver of Right to Child’s Records

Client Resource Forms

  1. Addiction and Codependency Model
  2. Anger Log
  3. Boundaries Made Easy – P.A.D. Formula
  4. Brain Connection
  5. Disease Model of Addiction
  6. Family of Origin Worksheet
  7. Food Plan
  8. Foundational Needs
  9. Hokey Cheesy Model for Assertiveness
  10. Physical, Emotional & Spiritual Map
  11. Recovery Diary
  12. SMART Goal Progress Monitor

Client Inventory Worksheets

  1. Anger Inventory
  2. Depression Inventory
  3. Fear Inventory
  4. Grief & Loss Inventory
  5. Resentment Inventory
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