Paperwork

Resources Center for Compassion

Scroll down to find the paperwork requested:

Disclosure and Questions

To save time on our first visit, please click “Disclosure” and “Some Questions” using the pdf links below. Then please print, and complete the forms.

Please bring both “Disclosure” and “Some Questions” with you when you come in.

Please print, read and sign these documents:

Disclosure statement, Methods, Fees and Recording Acknowledgement

Please print and complete:

Some Questions about you and your relationships

 

Videoconferencing

In the event that we decide together to meet through videoconferencing, please read the PDFs below. Please print and mail the consent to the address requested on the consent.

Please print, read, sign and mail the following consent:

Consent for Telehealth counseling

Please read the following information regarding Doxy.me below:

Instructions and tips for Doxy.me

More information from Doxy.me

 

Release

If appropriate, I may ask to speak with a current or previous therapist or medical professional.

If asked, please print, complete and return to me the following release:

Authorization to release or request information

 

Couple Workshop Registration

If you would like to register for Connecting with Compassion Couple Workshop, please first call me, Carema, at 720.408.6633. After you speak with me, please print and complete the following questionnaire and read the following workshop release. 

Please print and complete the following: Questionnaire

Please read the Workshop Release. I will have you sign the release at the workshop.

Please mail the completed questionnaire and $400.00 check/money order to:

Center for Compassion

4140 Tejon St. ste 106

Denver, CO 80211

 

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