ThrivingHeart Counseling & Consulting Finding Your Way From Surviving to Thriving

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Kristine Medea, MA, LPC, BCETS
404 661-9867
kristine@thrivingheart.com
Necessary Forms and Information

If you're a new client, please complete the following forms and bring them to your first therapy session.
~ Client Psychotherapy Intake Form

 ~ Limits of Confidentiality/Therapy Cancellation Policy
~ Disclosure of Information Policies and Client Agreement


If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
~
Authorization to Disclose Information Form 
 


Client Psychotherapy Intake Form  
Limits of Confidentiality/Therapy Cancellation Policy  
Authorization to Disclose Information Form  

Note: To download Adobe Acrobat Reader for free, click here.


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