Jennifer S Bailey, MA, LMFT 

Client Information Form

This form provides me with all of your necessary contact information. It also gives you the chance to tell me a little about you. There is a brief questionaire about your presenting issues and space to tell me what you'd like to accomplish in treatment.

Office Policy/Informed Consent

Filling our this form gives me your consent to begin treatment. It also gives details about how I work, what my qualifications are, and what you might expect from therapy.

My Social Media Policy

Like it or not, it's a digital age. Most of us live online, and therapists are no exception. In this form you will learn about my policy in regards to Facebook, Instagram, Twitter, LinkedIn and similiar sites--and how my profession's ethical guidelines and my own concerns in keeping your confidentiality will affect how we do or do not interact online.

Release/exchange of Confidential Information

This form is here for convenience as a "just in case." If you become a client, at some point you may be directed here to downlaod this form if an exchange of confidential information is needed. This is the one form here that is NOT needed for a first-time visit. If it is needed, we will discuss its use and necessity beforehand.

Consent for Telemedicine Form

Life happens... Sometimes you may not be able to come in for your regular session, but still want to be seen. Sometimes our schedules won't mesh, sometimes you can't do a makeup in my other office, or maybe we get hit by a massive Pandemic... 😷 When that happens, sessions occasionally may need to be done over the phone, or over an encrypted, HIPAA-compliant App. If you are a client, you may be directed here to download & return.