Helpful Forms

In order to maximize the use of our time together at your initial appointment, please complete the relevant forms and send them to me before our first session.

You can sign these forms by downloading them and then opening them with Adobe’s Acrobat Reader (if you don’t already have this software, it’s free and you can download it here), and then typing your name, using an image, or by actually signing your name. Please email the completed forms to me at info@caitlinburgess.com. Click here for more information about electronically signing PDF forms.

I will let you know what forms to complete prior to our meeting. Please allow approximately 20 minutes to complete these forms.

• Telehealth Waiver
• Release of Information

For Adult Individuals

Please complete these forms if you are seeking individual therapy.

• New Client Intake Form
• Informed Consent

For Individual Children/Teens

Copies of the Marital Settlement Agreement and/or Custody/Visitation Orders for divorced/separated families are required prior to the commencement of treatment.

• New Minor Client Intake Form
• Consent To Treat A Minor

For Co-Parents/Families

Please complete these forms if you are seeking co-parenting counseling or family (e.g., reconnection) therapy.

• New Client Intake Form
• New Minor Client Intake Form
• Informed Consent
• Consent to Treat A Minor
• “No Secrets” Policy

For Court Involved Therapy

Please complete this form if you are seeking Court-ordered therapy and/or if you are involved in the legal system at this time.

• Addendum to Informed Consent