Informed Consent Form

The information in this document provides details about some of the procedures and policy guidelines in my private practice. Also included in this form are some facts regarding the nature of participating in a counseling program.  Clients requesting services are asked to read this information carefully.

Notice of Privacy Practices (NPP), HIPAA

The document Notice of Privacy Practices (NPP), HIPAA describes how your mental health information is maintained and disclosed, and how you can have access to this information. Federal law requires me to distribute this Notice to you. Please read it carefully.


Please fill out the Alpha Element Counseling Intake Form and bring to your first appointment.