Call us: 888-550-2804 support@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.

i

Child Intake

i

Adult Intake

i

Authorization for Release for Insurance Company

i

Authorization of Release for Primary Care Doctor

i

Disclosure Statement

i

Financial Responsibility

i

HIPPA Addendum

i

HIPPA Client Rights

i

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.