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. Distance Therapy Client Information & Consent – Vaughn M. Bryant
  7. HIPAA Policy – Lois Thomson Bowersock
  8. HIPAA Policy – Vaughn M. Bryant
  9. HIPAA Privacy Notice
  10. Joint Therapy Consent
  11. Missed Appointment, Late Cancellation Policy
  12. New Client Information & Consent – Lois Thomson Bowersock
  13. New Client Information & Consent – Vaughn M. Bryant
  14. Parental Waiver of Right to Child’s Records

Client Resource Forms

  1. Activity Log
  2. Addiction and Codependency Model
  3. Anger Log
  4. Boundaries Made Easy – P.A.D. Formula
  5. Brain Connection
  6. Disease Model of Addiction
  7. Family of Origin Worksheet
  8. Food Plan
  9. Foundational Needs
  10. Hokey Cheesy Model for Assertiveness
  11. Meal Planning Worksheet
  12. Physical, Emotional & Spiritual Map
  13. Recovery Diary
  14. 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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