Intake Documents

Forms and paperwork for your care.

Preview any document in your browser, or download it to fill out. If you have questions about any form, reach out and Kaiti is happy to help.

Last updated: July 2026

Intake & Consent Forms

  • Informed Consent

    Outlines the therapy process, confidentiality, risks, benefits, and your rights as a client.

    Download
  • Couples Informed Consent

    Informed consent form tailored specifically for couples counseling.

    Download
  • AI Note Taker Consent

    Describes how an AI-assisted note taker may be used during sessions and requests your consent.

    Download

Financial & Legal Notices

  • Financial Policy

    Explains session fees, payment methods, insurance billing, cancellation policy, and related charges.

    Download
  • Notice of Privacy Practices

    Describes how your protected health information is used, disclosed, and safeguarded.

    Download

Release & Authorization Forms

  • Emergency Contact and Crisis Response Authorization

    Provides emergency contact details and authorizes crisis response protocols if needed.

    Download
  • Release of Information

    Authorizes the practice to share specific information with designated people or organizations.

    Download

Questions?

If you have trouble opening a document or need it in another format, contact Kaiti and she'll send it a different way.

Email: hello@veracounselingcollective.com
Phone: (623) 252-6140