Jane McCampbell
(612) 414-0383
NEW CLIENT PAPERWORK

Please complete the following paperwork and bring it with you to your first session:

Please also familiarize yourself with the Notice of Privacy Practices  as you will need to sign a form stating you have read it and consent to it. 
 
Couples therapy:
BOTH OF YOU should complete a set of paperwork.

Can't print?
Let Jane know and she will leave a clipboard in the waiting room for you. You will need to arrive approximately 15 minutes early.

Cold feet?
Attending therapy for the first time can be anxiety-provoking. Couples in particular frequently fail to show for their first appointment. Jane understands that anxiety and avoidance are a natural part of the process, but asks that you please be respectful of her schedule by letting her know 24 hours in advance of your appointment time if you are not intending to show. You can do this by voicemail on 612 414 0383 or click here to send a message through this website.

Questions?
If you have any questions as you are filling out these forms, please note them down so that you remember to ask Jane when you come for your first session. You can always leave a question blank or a document unsigned until you have the opportunity to ask for more information.
 

© 2010, Jane McCampbell
EMDR Therapist and Marriage Counselor
Jane McCampbell Counseling Services, LLC
Minneapolis, Saint Paul and Edina MN







 

 


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