Private practice therapist in Durham, NC

Client Forms

Please review the below forms. When an initial appointment is scheduled, I will ask you to complete them online through a link to my client portal before our first session together. These forms are also available at my office.

NOTICE OF PRIVACY PRACTICES-HIPAA

 

INFORMED CONSENT FOR PSYCHOTHERAPY AND PRACTICE POLICIES

CONTACT ME

Please contact me to discuss my services or schedule an appointment, training or consultation.

PHONE: 919.943.9931

EMAIL ME

© 2017 Amy Cleckler LCSW

2009 Chapel Hill Rd, Durham, NC 27707 | 919.943.9931 | www.amyclecklerlcsw.com