Forms

Psychotherapy Forms

• Client Information Form

  • Please fill this out before your first visit

• Child and Adolescent History Form

• Adult History Form

• Authorization to Disclose

  • Authorizes Cindy to work with your physician

• Telehealth Consent Form

Yoga Therapy Forms

• Yoga Client Waiver Agreement

• Intentions Yoga Information

• Release of Confidential Information (Yoga)

EMDR Therapy Forms

• Consent Form for Eye Movement Desensitization and Reprocessing

COVID-19 Forms

• Client Screening Survey

• COVID-19 Consent Form