- Client Information
- Statement of Policies/Informed Consent for Psychotherapy
- Release of Information
- Teletherapy Consent Form
- Credit Card Payment Form
- Authorization Agreement for ACH Debit Form
- Notice to Clients and Prospective Clients regarding a Good Faith Estimate (Summary)
* Forms with clinical impressions of the nature and severity of individual, relationship, and family concerns are also available. Please contact your clinician for access.
Amy Hooper, LCSW-C, Founder/Director, Gaithersburg Counseling Center LLC, Gaithersburg, MD