Initial Paperwork/Forms

Please print, complete and bring in the attached paperwork with you to your first appointment. Your clinician will review all paperwork with you and answer any questions you may have during your initial visit. 

JLM Informed Consent

JLM Client info Sheet PDF.pdf

JLM Credit Card Info Form.pdf

JLM Notice of Privacy Practices.pdf (for your own records) 

If you are bringing your child in for treatment please complete the following developmental questionnaire to bring into your clinician. 

Developmental Questionnaire

Below is the form to release confidential information to others for the sake of collaboration. If applicable, please print and fill out this form with the information of others who you believe will be beneficial for therapist to collaborate with. 

These agencies and individuals may include: Other family members not in treatment, schools, medical doctors, psychiatrists, teachers or other mental health care providers. 

JLM Release of Confidential Information.pdf