If you're a new client, please complete the following 4 forms and return them via email to [email protected] or postal mail to the therapist 24 hours before your first scheduled therapy session. Also provide a copy of the front and back of your insurance card if you are wanting to utilize in-network insurance benefits accepted by Tami Applegate MFT.
- Client Information and Insurance Form New Client Data Information and Insurance Consents
- Consent to Treatment Form intake-consent-to-treatment-2023-google-docs.pdf
- Telecounseling Consent Form Telecounseling Informed Consent
- Client History Questionnaire History Questionaire
Note: To download Adobe Acrobat Reader for free, click here .
