Paperwork

Please download the paperwork you need by clicking on the icon below. Note that you will need Adobe Acrobat to view these files. Once you have completed your paperwork, you may either e-mail it back to jeffersoncounsel@cableone.net or bring it with you to your first appointment. Please note that your paperwork MUST be completed in full before you can be seen by your therapist. We highly recommend taking the time to read our office policies in full. You will be asked to sign a form indicating you have read these policies.

Office Policies

New Client Intake Paperwork HIPAA Notice of Privacy Practices

Please bring your photo ID to your first visit, as we will need to make a copy for our records. Please bring your insurance card to your visit.

If you have any questions, please don’t hesitate to call the front desk at (208) 385-0888.

 

Release of Information for Shirley O’Neil Release of Information for Lorn Adkins Release of Information for Tim Furness Release of Information for Cheryle Jones Andrews Release of Information for Susan Furness