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Make An Appointment
Preparing for your first appointment
Other Forms

Make An Appointment

Please call 206-251-0236 or 206-780-7822 (#2) or email me (sally@sallymcintoshstoehr.com) if you would like more information or to schedule your first appointment. You may request a free 30 minute consultation to discuss my treatment approach, fees, etc. or to determine if my treatment style is a good match for you. Otherwise, your initial appointment will be for the full hour at the regular fee.

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Preparing for your first appointment

It is helpful for me to have as much information about your history and background as possible in order to best determine your treatment course. Please download the paperwork indicated below and bring the completed forms with you to your first appointment. State Law requires a disclosure contract to be completed at the first therapy session.

Clients Under 18

Clients Under 13 require parent or guardian permission to engage in therapy services. Please complete the “First Appointment Paperwork (child)” and “Child Therapy Contract.”

While clients Over 12 may give their own consent for therapy services, it is my policy to request both the child and the parent’s consent for treatment and for release of confidential information. Parents should be advised that if your child is over 12 your permission is not legally required. You do have the right to review your child’s therapy records. Please complete the “First Appointment Paperwork (child)” and “Therapy Contract (child).”

Clients Over 18

Please complete the “First Appointment Paperwork” and “Therapy Contract.”

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Other Forms

If you are already my client, you know I must keep anything you tell me confidential unless you give me express written permission to release it. At times it can be helpful for me to speak with your doctor, child’s school or caregiver, or other professionals. If you plan to access your insurance to be reimbursed for services, you will need to give me your consent to release information to them.

Consent for Release of Information

Consent for Release of Information - Insurance

PDF file viewing and download are possible with a Free Acrobat Reader:

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Mailing Address
PO Box 318
Poulsbo, WA 98370
206-780-7822 or 206-251-0236
Fax: 1-866-813-2548
www.sallymcintoshstoehr.com

Location
9431 Coppertop Loop
Suite 102
Bainbridge Island, WA 98110
206-780-7822
Fax: 1-866-813-2548
www.collaborativefamilytherapy.com

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