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.

6 + 15 =

Professional Credentials
  • Licensed Clinical Social Worker
  • Over 20 years of experience helping clients navigate change and healing
  • IFS Level I Certified
  • TIST Certified
Teletherapy Services

Providing online therapy for clients in Maryland, Virginia, and Washington, DC — including Georgetown, AU Park, Capitol Hill, Bethesda, Rockville, Arlington, and surrounding areas. Teletherapy makes it easier to connect with the right support, wherever you are across Maryland, DC, and Northern Virginia.

Phone: 301-279-7779
Email: BethLCounseling@aol.com
Hours: By appointment only

© 2025 Beth Levine

If you ever find yourself in crisis or needing immediate help, please reach out for support right away. You can call or text 988 to connect with the
Suicide and Crisis Lifeline, or go to your nearest emergency department.