Forms

Intake Forms:

The following forms may be printed out ahead of time and submitted at your first scheduled visit.

• MJPHD Notice of Privacy Practices
• MJPHD Intake Questionnaire
• MJPHD Client Registration Form 
• MJPHD Telehealth Consent

Therapy Forms:

These forms may be helpful and referenced in our therapeutic work together.

• MJPHD Model for Behaviors, Emotions, Sensations, and Thoughts
• Cognitive Distortions (Therapist Aid, 2012)