Intake & Other Forms

If you're a new client, please complete (electronic process: save, fill out, save, print or attach) the following forms and bring them to your first session or email them to: info@tracistorycommcoach.com
 

• Client Intake Form
   

• Goal Setting Worksheet
   

• New Client Questionnaire

• Limits of Confidentiality/Session Cancellation Policy
   

If you would like us to coordinate care with another provider (for example -  your psychiatrist, primary care physician, etc.), complete this form to authorize release of your coaching and consulting information:
 

• Authorization to Disclose Information Form

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