Laura Lindekugel M.S., M.S.
individual therapy, couples therapy, trauma therapy, sex therapy, family therapy

Forms

Forms for Your First Appointment

Please read the New Client Information and, for each person attending a first appointment, complete the Therapy Agreement, the Payment Authorization, the ACE Questionnaire, and either the Intake Form or Long Intake Form.  Click to link to each form, print and complete them, and bring them to our first appointment.  Thank you for your time in completing these forms.


New Client Information

Please read

 



Therapy Agreement

Please Complete




Intake Form

Please complete

 



Payment Authorization

 



Release of Information

Please Complete if Requested


Long Intake Form

please complete

 



ACE Questionnaire

Please Complete