Client Forms

If you are interested in working with Gretchen, please complete and email the Counseling Profile Form to Gretchen. Please review the Policies and Procedures and let Gretchen know if you have any questions. The Consent Form will be needed after the initial consultation if you and Gretchen decide to work together.

Counseling Profile Form (This Version is an Active PDF Document. It will need to be downloaded, saved, completed, saved and then emailed to Gretchen)

Counseling Profile Form (I’ll have to reformat my active PDF one and email that later).

2022 Informed Consent and Client Orientation

Consent Form

Telehealth Consent Form

No Surprise Act DHH Disclosure Notice*

*No Surprise Act form does not need to be printed or signed, it is just for your reference.

HIPAA Notice*

*HIPPA form does not need to be printed or signed, it is just for your reference.

Live and Love with Intention

Marriage and Family Therapy

(443) 465-0545

Send a Message

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