Deborah Midkiff
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      Before your initial appointment, please print and complete the following forms for the type of service you have requested. If you have any trouble accessing the links, please notify me from the contact page and I can send the forms to you.  Thank you for bringing this completed paperwork to our first meeting.

Therapy Forms
       Basic policies are addressed on the Informed Consent form with an overview of scheduling, confidentiality, and fees.  The Intake form requests contact information and has  general questions that will facilitate our initial session. To allow me access to your records of services from other agencies, please complete the Authorization to Release Information.

HIPAA Notice
Informed Consent

Adult Intake Packet
Authorization to Release Information


Spiritual Direction Forms
appearing soon
Explanation of Spiritual Direction
Covenant Agreement

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