Thank you for scheduling an appointment with me at Wild Child Counseling. Below you will find the paperwork we discussed. Please print, read, and fill out the following 3-4 sections of paperwork to bring it with you to your first session. The information you provide will inform you of your rights and help me optimize our work together. If you have any questions, please do not hesitate to ask.
HIPPA Notice of Privacy
Please read this form, initial each page, sign the final page, and send it to me.
Adult Information Form
Please complete this form and send it to me.
Informed Consent / Telemental Health
Please read this form, initial each page, sign the final page and send it to me.
Child Information Form
Please complete this for a clinical consultation regarding your child.
No Surprise Billing / Good Faith Estimate
In compliance with the No Surprises Act that goes into effect 1/1/2022.
Wondering what to tell your children? I believe honesty and openness leads to trust and safety. You can let your children know in your own words what feels difficult and how you think our work together will help. Here is a sample of something you can say that is free of blame and shame:
"Lately we've had a difficult time talking and working together as a family. I want us to enjoy our time together more, so I found someone who I think can help us understand and support each other."
