Please fill out this form and bring it to your first visit. The information that you provide will help me develop a clear and focused understanding of who you are and what you hope to gain from the counseling experience.
Amy M. Cohen, LCPC
You will be asked to sign this form for yourself or for your minor child as part of your first visit. Please take some time to read it in advance. I would be happy to answer any questions you might have.
Please fill out this form if you wish for me to have contact with any of your educational or health care providers. The purpose of this collaboration is to better treat you in a holistic manner.