New Client Forms
These forms are available here for your convenience, to complete before your first session.
Please download the appropriate forms below, print, complete and bring with you to your first session.
New Client Questionnaire – Adult
New Client Questionnaire – Teen
New Client Questionnaire – Child
Insurance Questionnaire
Release of Information Form
Informed Consent Form informed_consent_sue_2_pages.pdf
Notification of Privacy
New Client Intake - Private Mediation & Co-parenting Counseling
Private Mediation Contract
Private Mediation Fee Policy feefee_policy_private_mediation.pdf
Please download the appropriate forms below, print, complete and bring with you to your first session.
New Client Questionnaire – Adult
New Client Questionnaire – Teen
New Client Questionnaire – Child
Insurance Questionnaire
Release of Information Form
Informed Consent Form informed_consent_sue_2_pages.pdf
Notification of Privacy
New Client Intake - Private Mediation & Co-parenting Counseling
Private Mediation Contract
Private Mediation Fee Policy feefee_policy_private_mediation.pdf