Deborah Lee Jennings, LMHC, CT Psychotherapy for Adults, Children, & Families

  • Home
  • Services Provided
  • About Me
  • Rates & Insurance
  • Appointment Request
  • Common Questions
  • Helpful Forms
  • Contact Me
  • Links & Resources
  • Make a Payment
  • Buy Books And CDs
  • Privacy & Policy
  • Hot Topics!
Deborah Lee Jennings, LMHC, CT
(508) 583-5588
deborah@deborahleejennings.com
Helpful Forms

 
If you're a new client, please complete the following form and bring it  to your first therapy session.

  • Client Psychotherapy Intake Form

 If you would like me to coordinate care wth another provider (for example, your psychiatrist, primary care physician, etc.), complete this form   
to authorize release psychotherapy information:
  • Authorization to Disclose Information Form

Client Psychotherapy Intake Form  
   
Authorization to Disclose Information Form  

Note: To download Adobe Acrobat Reader for free, click here.


©2010 by TherapySites.com. All rights reserved.
2b3aa4e4b58f18f467da138b8c69d00d