Forms

If you are a current or prospective client, you should fill out the following forms electroncially and email them to vinnie at checkyourcompass.org before your first session.  If that is not possible, fill them out by hand and bring them with you to your first session.

 

Informed Consent

You agree to counseling under the terms specified.

 

Personal Data Inventory

Gives us a snapshot of who you are and the reasons you are seeking our services.

 

Privacy Practices

Describes how we treat your health related information

 

Release of Information

Insurance companies require us to ask you to sign a release form for your primary care physician so that we can collaborate with him/her.  If you are seeing or have seen another counselor, we will ask you to sign a release for us to speak with that person.  If there is anyone else you would like us to speak with on your behalf, you must sign a release for that person.  You may decline any of these suggestions.