Forms and Recommendations
Forms to Download Before Your First Visit By downloading, printing, AND bringing the completed forms to your first visit, you will save yourself valuable time. If you do not bring completed forms to the first session, you will need fill them out at the start of the session (this is state law). Please do not send them back to me as a separate Google document to my email. You will also be given any additional forms as needed at the time of the visit. Also, if you are using an approved form of insurance that SDC takes (Regence, Premera, UMP, First Choice), please bring your insurance card to your visit, or copy BOTH sides of the card onto one side of an 8.5x11 sheet of white paper. Coming soon:consent form to use Electronic Transmission for Confidential Sessions Client Registration Form (one per person or couple/family) https://docs.google.com/Doc?docid=0AVncDkK9TOmXZGZtOTk0NGpfMzlkejIzemNnbQ&hl=en Treatment Program Statement https://docs.google.com/Doc?docid=0AVncDkK9TOmXZGZtOTk0NGpfMzhmajdyNTZncQ&hl=en Counselor and Fee Disclosure Statement https://docs.google.com/Doc?docid=0AVncDkK9TOmXZGZtOTk0NGpfMzdnZDluM3BkOA&hl=en Therapy Partner Electronic Payment Form (for credit/debit card processing) https://docs.google.com/Doc?docid=0AVncDkK9TOmXZGZtOTk0NGpfMzZ6ZnozZ3NkNg&hl=en From a client using breathing techniques from Yoga with Coaching "As I have worked with Imei through her practice, my anxiety levels have significantly lowered. I have been able to control my breathing and live my demanding life as a Division 1 student-athlete in a more relaxed and productive fashion." (July 2009) Nick Ragland-Johnsen Safety, Northern Arizona Lumberjacks |
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Everybody goes through times in their lives when they hit rock bottom. Any event can trigger this emotional roller coaster. Even
those who have a tight-knit group of family and friends, like myself, can still feel very alone. Imei is a warm and caring individual
who makes you feel at ease immediately. She encourages you to explore eery facet of your emotional and physical well being in
an environment where you are safe. Imei challenged me to take the hurt that I was feeling and look at it from every angle. With her
help, I was able to forgive and move forward.
JW, former client
those who have a tight-knit group of family and friends, like myself, can still feel very alone. Imei is a warm and caring individual
who makes you feel at ease immediately. She encourages you to explore eery facet of your emotional and physical well being in
an environment where you are safe. Imei challenged me to take the hurt that I was feeling and look at it from every angle. With her
help, I was able to forgive and move forward.
JW, former client