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.

I am now doing all my paperwork electronically through TheraNest. The forms will be sent to you through a link to your email. You will set up an account in the portal. All TeleHealth sessions will be done through TheraNest. 

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