top of page

New Client Forms

​

Please print and bring with you to your first session.

        If you forget to fill out your forms, please arrive

30 minutes early.

Otherwise, please arrive 15 minutes early.

Thank you!

 
For Dr. Micaela Benavidez
​
​

For New Therapy Clients: Informed Consent, Privacy Policy/HIPAA, Email/Text Consent, No Show Policy, Credit Card on File, and Intake Form

​

​

​
For New Telehealth Clients: All the forms above and Telehealth Informed Consent

© 2019 by Aspire Services Group, LLC

bottom of page