New Client Forms

Please complete these New Client forms and make sure they are in my hands at least 24 hours before your first session. You’ll need to print all 5 pages of the Client Intake Form. For the next three forms — Professional Disclosure, HIPAA Privacy, and Telehealth Informed Consent — you need to print out and sign only the signature (last) page of each form. If you don’t have access to a printer, I can mail you hard copies. After you fill out your forms and sign the signature pages (that’s a total of 8 pages), you need to scan those and attach them to an email, then send to me at malmgrenjeanne@gmail.com. If you prefer, and if there is sufficient time before your first session, you may instead mail the completed forms to me: P.O. Box 49, Sunset, SC 29685.