Clinical Forms

Psychotherapy Forms for New Clients

Clinical Forms

You've taken the first step to speak with a JF&CS professional. Together, in a welcoming environment, client and clinician will map out a plan for treatment and measure progress toward attaining goals.

Clinical Forms

Please view the links below and fill out the relevant forms before treatment. Confidentiality is strictly adhered to and nothing about you or your treatment will be provided to anyone without your written permission.

By clicking on a link you will be directed to a secure site to complete a form. Once a form is begun, it must be completed in its entirety. There is not an option to "Save" and return at a later time. Please allow enough time to complete the form. When all questions of a form have been completed, scroll to the bottom and click on "Submit."

Shalom Bayit Forms:

1. Client Orientation & Privacy Notice

2. Treatment and TeleHealth Consent Form

Clinical Forms

We are here. Let's talk.

We want you to feel better.

HAMSA Forms:

1. Client Orientation & Privacy Notice

2. Treatment and TeleHealth Consent Form