Helpful Forms, Policies, and Your Client Portal
Client Portal Link
We use a platform called Therapy Portal. Log in there to see your appointments and notifications.
New Client Intake Form
New here? Your therapist will ask you to fill out our intake form. Please click to fill it out!
Just-in-Case Printable Forms
All our forms are completed through our online portable. But, sometimes you may have internet issues or you prefer printable forms vs filling them out digitally? Access some of our forms below or reach out to us. You can email billing@coreconnectioncc.com with completed forms or with any questions!
Child & Adolescent Registration Form
Adult Registration Form
Consent for Treatment and Practice Policies
Privacy Practices
Confidentiality & Privacy Policy
The law protects the relationship between a client and a psychotherapist, and information cannot be disclosed without written permission.
Exceptions include:
Suspected child abuse or dependent adult or elder abuse, for which I am required by law to report this to the appropriate authorities immediately.
If a client is threatening serious bodily harm to another person/s, I must notify the police and inform the intended victim.
If a client intends to harm himself or herself, I will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, I will take further measures without their permission that are provided to me by law in order to ensure their safety.