By you filling out these forms ahead of time, it gives us more time to talk about why you are coming in and less time
filling out the paperwork. However, if you cannot print or are having trouble viewing these, please contact your
therapist and we can work with you to get these. It is NOT a problem if you don’t have these, please just come ten
(10) or fifteen (15) minutes early so you can fill them out before session.
If you’re a new client, please complete the new client paperwork as well as your therapist’s disclosure form below and
bring them to your first therapy session. Each member of the family that will be participating in therapy needs to
fill out a registration form and the checklist of concerns.
New Client Paperwork:
Your Therapist’s Disclosure form:
PLEASE ALSO PRINT THIS OUT
Angela Schubert, PhD, LPC, please also fill out her
Sarah Richards, MA, Registered Psychotherapist, please also fill out her
Melanie McClung-Eidsmoe, LPC, RPT, please also fill out her
Disclosure form- MM.
Megan Backstrom, Practicum, please also fill out her
Megan Strauss, LPC, please also fill out her
Megan Carroll, LPC, please also fill out her
Other pertinent forms (Optional)
If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician,
etc.), complete this form to consent release of psychotherapy information.
If you would like us to share information with someone other than a provider (for example, your teacher, family member,
friend, attorneys, Department of Human Services, employer, etc.), complete this form to authorize release of psychotherapy