Shelley Burns, MA, LMHC

Licensed Mental Health Counselor

New Clients

Please fill in and sign the documents below and email them to me at prior to our first session.  Or you can print, complete and mail them to me if you prefer.

  1. Authorization for Treatment

  2. Disclosure Statement

  3. Notice of Privacy Practices

  4. Receipt of Notice

If you will using health insurance please include your insurance ID card.

I look forward to meeting with you.