Your forms, all in one place

Welcome to the client forms page. Here, you'll find all the necessary forms for your therapy sessions with Elle Avery Psychotherapy. Please complete these forms digitally prior to your first session, and make sure to submit them to me.

Digital mental health intake form

Please complete this form to provide comprehensive information about your mental health history and current concerns. This information will help Elle Avery provide you with the best possible care.

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Informed consent for psychotherapy

This document outlines the terms and conditions of your therapy with Elle Avery, including confidentiality, session policies, and your rights as a client.

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Informed consent for Telehealth mental health services

This form provides specific information about the nature of Telehealth therapy, including technology requirements and privacy considerations.

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Notice of privacy practices

This form describes how Elle protects your health information, your rights regarding your personal data in compliance with HIPAA regulations.

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Credit card authorization

All sessions are paid at the end of each session by credit card. Please complete this form to authorize Elle Avery Psychotherapy to process your payments securely.

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Informed consent for the use of session recordings and transcripts for clinical documentation and treatment enhancement

This form explains the purpose and process of recording sessions and creating transcripts, and seeks your consent for their use in clinical documentation and treatment enhancement. This form is optional.

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Need help?

If you experience any difficulties completing these forms, please do not hesitate to contact Elle Avery Psychotherapy at info@elleaverpsychotherapy.com for assistance.