LKZ, LLC
  • Home
  • About Lori
  • Services
  • Intake Forms
  • Fees
  • Office Information
  • Contact Me
  • Therapy Resources
    • Blog
    • Book Recommendations

Intake Forms

These forms are for authorized clients only!

Please print each of these documents and bring a completed copy to our first appointment. This step will significantly reduce the paperwork portion of your first appointment. 
informed_consent.pdf
File Size: 78 kb
File Type: pdf
Download File

privacy_notice_and_acknowledgment.pdf
File Size: 85 kb
File Type: pdf
Download File

fee_and_insurance_information_agreement.pdf
File Size: 71 kb
File Type: pdf
Download File

release_of_information.pdf
File Size: 15 kb
File Type: pdf
Download File

gain-ss_4.0.1.pdf
File Size: 232 kb
File Type: pdf
Download File

Powered by Create your own unique website with customizable templates.
  • Home
  • About Lori
  • Services
  • Intake Forms
  • Fees
  • Office Information
  • Contact Me
  • Therapy Resources
    • Blog
    • Book Recommendations