Following please find various forms and information relevant to my practice. You may be requested to select certain form(s) from the list below and complete them as part of your initial intake procedure. Please download, print and complete any applicable form(s) as directed and bring them to your initial appointment. Please note that each form is linked to a printer-friendly, .PDF format for your convenience. You will need Adobe’s free Acrobat Reader to access the .PDF versions of these documents. If you do not have Acrobat Reader already installed, you may obtain the latest version for free via a short download here. Adobe programs and related icons are registered trademarks of Adobe Systems Incorporated. All rights reserved.
Client Information Form
Information, Disclosure & Consent Form
Health Insurance Portability & Accountability Act (HIPAA) Form
Telehealth Consent Addendum Form
Electronic Communications/Social Media Consent Addendum Form
Couples Information Form
Confidentiality Policy in Couples Therapy Form
Confidentiality Policy in Family Therapy Form
Consent for Treatment of Minors Under Age 15
Please be advised the following links are provided for information purposes only. Inclusion herein does not indicate affiliation with or endorsement by Dr. Jennifer Ritchie-Goodline.
COLORADO PSYCHOLOGICAL ASSOCIATION
CPA is representative of all sectors and all specialty areas in the field of psychology. Through CPA, Colorado psychologists demonstrate their commitment to psychology as a vital profession of the highest standards.