Teresa Utley, M.S. LMFT; Marriage, Couples, Individual and Family Therapy  
Helping to build your "TREE OF LIFE" and "Empower Self"
 

Reclaim your life today!

Marriage and Couples Counseling. 

Change starts with YOU!

Empower Self - Be a survivor; empower sexual self, empower your identity and live your best life being 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