Conscious Relating ~ Conscious Living

Rebekkah Alexander, LPC, CHPC

Conscious Relating · Conscious Living

Client Forms

If you are a new therapy client, please complete the following forms prior to your first session. To complete, click on the form name to download and print.  When complete, email or send via regular mail to us at the address at the bottom of this page.  

If you would like me to coordinate with another provider (for example your primary care physician) or share your information with someone else you specifically direct, please compete the following form to authorize release of your information and return to us.