Forms

If you have scheduled your first appointment with me, please print first two (2) forms below.  Please complete the client information form, read the professional disclosure statement, and bring both forms to your first appointment so that we can review and discuss them together.  If you would like me to communicate with another person or organization, please complete and sign the Release of Information form and bring or email it to me.

Thank you and I look forward to meeting you!

 

Clear Heart Professional Disclosure Statement

Clear Heart Individual Client Information Form

Clear Heart Couple/Family Client Information Form

Clear Heart ROI Form