FORMS

Please print and complete the two forms below and bring them to your first appointment. If you are a family or a couple, please print one intake form for each person to fill out and only one  informed consent for the group, with everyone signing the same consent form.  If you can not print the forms, do not have time prior,  or simply forget them, do not worry! I will have all the forms ready to go at my office. You are always welcome to come early and find the forms outside my office door on clipboards and take them back to the lobby to fill out.  I will come out and get you at the appointed time.

Please return completed forms via email to:  LaceyTherapy@LaceyTherapy.sprucecare.com

LMFT PLLC CONSENT 2020

LMFT-PLLC INTAKE-FORM-2019

LMFT TELEHEALTH CONSENT-FORM 2020

Forms can either be printed, signed and returned or digitally signed using Adobe, DocuSign or by using the Add Notes – Touch Writing function in Explorer browser.

Please sign and return the form below if requested.

CONSENT TO RELEASE INFORMATION FORM