FORMS

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.