“Helping People Find Their Path To A Life Of Peace”

Forms

Print and Complete the following forms to bring with you to your first appointment.
If you do not have access to a printer, please arrive 10-15 minutes prior to your appointment.

Adult checklist of concerns
Demographic Form
Notice of Privacy Practices Abridged
Notice of Privacy Practice Consent Form
Additional paperwork will be completed during your initial assessment.

Information

Clients Bill of Rights
Limits of the Therapy Relationship Information


Journey To Peace Counseling Services, LLC

Donna Schmidt, MA, LPC, NCC

“Helping People Find Their Path To A Life Of Peace”

Forms

Print and Complete the following forms to bring with you to your first appointment.
If you do not have access to a printer, please arrive 10-15 minutes prior to your appointment.

Adult checklist of concerns
Demographic Form
Notice of Privacy Practices Abridged
Notice of Privacy Practice Consent Form
Additional paperwork will be completed during your initial assessment.

Information

Clients Bill of Rights
Limits of the Therapy Relationship Information


Journey To Peace Counseling Services, LLC

Donna Schmidt, MA, LPC, NCC

“Helping People Find Their Path To A Life Of Peace”

Forms

Print and Complete the following forms to bring with you to your first appointment.
If you do not have access to a printer, please arrive 10-15 minutes prior to your appointment.

Adult checklist of concerns
Demographic Form
Notice of Privacy Practices Abridged
Notice of Privacy Practice Consent Form
Additional paperwork will be completed during your initial assessment.

Information

Clients Bill of Rights
Limits of the Therapy Relationship Information