Call us: 888-550-2804 info@caterrrflies.com

Client Forms

Please download and complete the necessary forms before your visit. If you have any questions please visit our contact page or your client portal.

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Child Intake

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Adult Intake

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Authorization for Release for Insurance Company

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Authorization of Release for Primary Care Doctor

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Disclosure Statement

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Financial Responsibility

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HIPPA Addendum

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HIPPA Client Rights

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Credit Card Data Insured Responsibility

You’re Not Alone. And I’m Here to Help!

With more than 20+ years of navigating my own transformation through life’s storms, hills, & valleys from childhood trauma & addiction, to the effects mental illness, to overcoming it and living well! My mental health and addiction clients feel stuck & desire empathetic, judgement-free support from someone whose walked in their shoes and succeeded. 

Get started with a FREE phone consultation now.