Client Forms

Client Forms

Hello and Welcome,

We know you have very many choices about who you trust and work with to improve your life.   You have the right to ask questions and interview the psychologists you are considering.  People who decide to work with me, uncover the problems or blocks to their better future and take steps to resolve problems, learn needed skills, heal traumas, or use the blocks as stepping stones to a life they value.   We can absolutely transform our emotions and our lives with appropriate guidance.  Thank you for considering one of us at Mindful Health Advantage.

M.H.A.  Fee & Treatment Agreement

M.H.A.  Good Faith Estimate

M.H.A.  Telehealth Assisted Psychology Services Agreement

M.H.A.  Release of Information form


NOTE:  The Notice of Privacy Rights is available from the Home Page.  The notice lists the Rights all clients have when they work with someone in mental health.