Once we have scheduled your appointment, please download the corresponding intake forms via the links below and email them to to following email address : intake@olivetreecounseling.com **Please Note: All paperwork must be submitted to OTC at least 24 hours before your first appointment to avoid rescheduling as we cannot legally see clients without the necessary authorization.
Telehealth & Privacy
Please keep a copy of all privacy and policy forms for your personal records.
Telehealth Consent | |
File Size: | 159 kb |
File Type: |
Privacy Policy | |
File Size: | 145 kb |
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Fees & Payment Policy | |
File Size: | 130 kb |
File Type: |
2024 Release of Information (ROI) | |
File Size: | 176 kb |
File Type: |
Adult
ADULT: All Forms 2024 | |
File Size: | 554 kb |
File Type: |
Checklist of Concerns | |
File Size: | 201 kb |
File Type: |
Request for Therapy Form | |
File Size: | 155 kb |
File Type: |
Minor
MINOR: All Forms 2024 | |
File Size: | 528 kb |
File Type: |
child_checklist_of_characteristics.pdf | |
File Size: | 156 kb |
File Type: |
Where applicable
Authorization to treat Minor by Legal Guradian | |
File Size: | 78 kb |
File Type: |
2024 Release of Information for Minors.pdf | |
File Size: | 178 kb |
File Type: |
Therapist Disclosure Statements
brittney_professional_disclosure_statement.pdf | |
File Size: | 159 kb |
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derek_sandlins_professional_disclosure_statement_2019-1-22.pdf | |
File Size: | 115 kb |
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holly_professional_disclosure_statement.pdf | |
File Size: | 115 kb |
File Type: |