Teresa Utley, M.S. Marriage and Family Therapy Associate 
Helping to build your "TREE OF LIFE"
 

Reclaim your life today!

Change starts with YOU!

Change starts with You!

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FORMS


You MUST READ the forms to particiapte in Therapy.

To save time you may download the forms to your computer, fill out the Client Initial Information Sheet prior to your session. Read all the disclaimer and HIPPA paperwork. Bring any questions to the session regarding the paperwork.

Client Initial Information Sheet  (Read, Print, Fill out and bring to the first session)

Read over the following forms. I will have the signature pages at your first session.

Utley Practice and Disclaimer Form

HIPPA Form

Email or Text Reminder form (Optional)

First Appointment Orientation (For your use)


Telehealth Form