Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

  • Informed Consent/Therapist Disclosure
  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

  • Authorization to Disclose Information Form
Informed Consent/Therapist Disclosure
Client Psychotherapy Intake Form
Limits of Confidentiality/Therapy Cancellation Policy
Authorization to Disclose Information Form
Telehealth Consent Form
 

Note: To download Adobe Acrobat Reader for free, click here .


Cathryn McRuer-Wong, Psychotherapist and Counselor
425-283-7308
CathrynMW@
healingchangecounseling.com
 

Therapy and Counseling for individuals, couples, and families.

Specializing in: Trauma PTSD, Sexual Abuse, Depression,  Anxiety, Infidelity, and more...

Areas served include: Fort Myers | Estero | Bonita Springs | Naples, FL
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  • Links & Resources

    View recommended websites and other valuable resources.

  • Helpful Forms

    Click here to view and print forms for your appointment.

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