Jamelyn Keatts Psychotherapy therapy for adolescents, young adults & adults
welcome
perspective//background
services
location
contact
forms
forms
Below are the forms that we will cover during your initial session. Please download, print and bring both completed forms with you to your first appointment.
Disclosure Statement
File Size:
87 kb
File Type:
pdf
Download File
Covid Protocol, Disclosure and Consent
File Size:
120 kb
File Type:
pdf
Download File
Good Faith Estimate
File Size:
134 kb
File Type:
pdf
Download File
Intake Form
File Size:
95 kb
File Type:
pdf
Download File
Telehealth Disclosure and Consent
File Size:
110 kb
File Type:
pdf
Download File
Audio Only Telehealth Disclosure and Consent
File Size:
87 kb
File Type:
pdf
Download File
Notice of Privacy Practices
File Size:
133 kb
File Type:
pdf
Download File
[email protected]
// 408.836.2896
welcome
perspective//background
services
location
contact
forms