Intake Documents | AJenkinsTherapy

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AJenkinsTherapy

Please Complete and Submit

AJenkinsTherapy New Intake Documents.zip

Treatment History (select all that apply) * Required

I have received mental health counseling within the past year.

I have received mental health counseling within the last three years.

I have received mental health counseling over three years ago.

I have never received mental health counseling.

I am usure.

I and/or my partner have a history of substance abuse.

I have struggled with anxiety.

I have difficulty managing my anger.

Thanks for submitting!

Please Complete and Submit

Treatment History (select all that apply) * Required

I have received mental health counseling within the past year.

I have received mental health counseling within the last three years.

I have received mental health counseling over three years ago.

I have never received mental health counseling.

I am usure.

I and/or my partner have a history of substance abuse.

I have struggled with anxiety.

I have difficulty managing my anger.

Thanks for submitting!

Practice Policy I.pdf

Practice Policy I.pdf

Informed Consent 2021.pdf

Informed Consent 2021.pdf

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