Forms for New and Current Clients

Hi, y’all. Here are some forms and links for my new and existing clients

New Clients:

You will get all of these documents through the TherapyNotes portal when you first set up your appointment. If you can’t access them or didn’t receive them, use these instead. Always feel free to call or email if you get stuck on these and I will help you as soon as I can. Here are some helpful tips for using the TherapyNotes portal to download, review, sign, and upload documents.

Informed Consent and Privacy Policy. You keep all but the signature page (download separately), which you fill out and turn in)

Information for using telehealth:

Release of Information (for your physician(s) and any people you want to have information on your therapy. Print one per person you want to have information)

Full Assessments and Medical History:

Forms for Existing Clients (and anyone else who can benefit from them)

DBT Diary Card (amended to work on a larger variety of issues)

More Forms to Come

As people request specific resources in the comments on this page, I will add more forms and links where I can. All comments are moderated for the mental health of those reading.
Some ideas:
More worksheets
Resources local to the Kansas City area
Resources for the entire United States
Acknowledgments and Links to Content:

Thanks for dropping by.

Thank you to my family, friends, Patrons, and followers. A special shoutout (as always) to those who struggle every day and get up and keep going, every day.

Please support my work by signing up to be a Patron for a dollar or more a month or through dropping a tip at PayPal. Some of the other places you can find my work include YouTube, TikTok, and the Out Of My Mind website.
You can also find my rants and ramblings about process and politics on my personal Facebook, my Twitter, and my Facebook page, Out Of My Mind. I do not “friend” therapy clients or former therapy clients on my personal social media.

You can go to its Facebook page to find out more about my therapy practice, Responsive Mental Health Services, LLC.
Finally, as always, half of every dollar I make from videos, podcasts, and writing (through PayPal or Patreon) is donated to my best friend, Katherine Malone. She has a deadly heart condition and needs a heart transplant, but must raise $20,000 for anti-rejection drugs before she can be placed on the transplant list. You can find out more here and here, and go here to donate directly to her GoFundMe. This will continue until Kathy’s heart is fully funded.

After that, half up to $500 a month will continue to be donated to assist her in paying for her anti-rejection meds.

A final reminder: You are each important and have both much to teach, and much to learn. I look forward to learning from and teaching you all.

What are your ideas?

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