Judy Dearing, LCSW
Adult, Children, and
Family Therapy
Family Therapy
Helpful Forms
If you're a new client, please complete the following forms and bring them to your first session.
- Client Registration
- Statement of Understanding & Informed Consent
- Payment Contract For Services
- Consent to Use & Disclose Your Health Information
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form:
- Authorization for Release of Information
Downloadable Forms
