All forms are available online via Julie Myers LPC portal. Clients will receive login information once they have scheduled their initial appointment.

1. Client Information Form

2. Checklist of Concerns

3. Agreement to Pay For Professional Services

4. Consent for Treatment

5. Professional Disclosure 

6. HIPAA

7. Release of Information (to coordinate your care)


Additional forms for Couples (if asked to complete) :

Gottman Couples Questions

Couples Communication Cycle