If you have been asked to complete one of the forms or assessments, please print a copy and complete it to the best of your ability. Leave any portions blank that you have questions about or want to discuss with me. Bring the forms with you to your first session.

Preliminary Information

Disclosure Form & Consent to Treatment

Client Privacy Information

Client Information Form

Payment Policy for Patients Without Health Insurance

Assessments

Life Story Form

Sexual Addiction Screening Test (Men's version)

Rokeach Values Survey

Patient Health Questionnaire (PHQ-9)

Online Assessments

Taylor Johnson Temperament Analysis ®

Fees and Payment Information

Copyright (c) 2009, Summit Counseling Associates, Inc.

Serving people throughout the Denver - Boulder metro area.