FORMS TO REVIEW BEFORE OUR FIRST APPOINTMENT

Great things start with a single step

Forms? Who likes to fill out forms?

Me neither.

But, necessary.

Please review the forms below before your first appointment so you can become familiar with my office policies.  I am happy to discuss any questions you might have before we meet or during our meeting(s).

Filling them out ahead of our first session will allow us to make full use of our initial session.

Clicking on the links below will automatically download them to where ever you keep your downloaded files.

  1. Client Data Form
  2. Client-Therapist Agreement (Informed Consent)
  3. Notice of Privacy Practices (HIPPA Privacy Information Form)
  4. Consent for Telelehealth Services

If it is important for me to coordinate your treatment with another provider, you will need to fill out this form:

Authorization for the Release of Information

I am looking forward to working together.

Get in touch.

I'm always happy to hear from people.

If you have any questions, need more information, or would like to make an appointment, you can call me at 301-279-7779, email me at BethLCounseling@aol.com, or use the form below.

If you are searching for a “therapist near me,” that could be me.  I see people via teletherapy, so I am a therapist near you! 🙂 I provide services to people in Maryland, Virginia, and DC.

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Licensed Clinical Social Worker • Over 15 years of experience • Certified Emotionally Focused Couple Therapist and Supervisor • Member of The Greater Washington Society of Clinical Social Work • Member of the International Centre for Excellence in Emotionally Focused Therapy • Member of Clinical Social Work Association • Member of National Association of Social Workers

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Serving Washington DC, Maryland and Northern Virginia through teletherapy, including Georgetown, Tenleytown, AU Park, Downtown, Rockville, Bethesda, Chevy Chase, Kensington, Gaithersburg, Germantown, Potomac, Silver Spring, Arlington, Fairfax, Alexandria, Leesburg, Clarendon, Springfield, Great Falls, Annandale, McLean, Burke, Vienna, Tysons, Reston, Ashburn.

Phone:  301-279-7779
Email:  BethLCounseling@aol.com

Hours by appointment only

© 2024 Beth Levine