If this is your first visit to Dr. Judith, you will have several pages of
information to fill out before your session. If you can do this
in advance, it will not take up your session time with your counselor(s).
Each person receiving counsel must completely fill out his or her own
Personal Inventory which gives us an indication of everyone's background.
This inventory is personal and completely confidential. Information is
not shared unless required by law. Then each person must
initial and sign the Informed Consent Agreement which informs you of our
services and what to expect. Please initial each section where
indicated. Only the person responsible for payment (head of
household) should fill out the Schedule of Fees page. Please bring the
appropriate completed copies with you to your first session.
To print
or download a PDF file, click on the appropriate form to the left.
FWI... When finished with each file, click on the back arrow rather than the
red X which takes you from the website.




