For new clients, click here for information on your first visit and documents that can assist in speeding up your intake process.
Thank you for choosing to begin counseling with Nate Marshall Counseling, PLLC. On this page you will find information on what your first visit will be like as well as some documents for you to have filled out before your first visit. Having these documents completed before your first session will greatly speed up the process of getting you enrolled for services and allow us to have more time to focus on beginning your counseling services. The following documents are available for download followed by a brief description of the form and what is needed to be completed.
Client Info:This is a 2 page form that needs to be filled out as thoroughly as possible. If you are using your insurance to pay for your sessions, you will need to complete the bottom half of page 1 with your insurance info. If you are not using insurance, the section on the bottom half of page 1 does not need to be filled out, but the rest of the document will need to be completed. Please be sure that you sign and date page 2.
Comprehensive Background Information (Word Doc): (PDF) This is a 15 page document that will assist in the process of gathering information about you, your background, and the nature of the issues that bring you in for treatment. Please fill out as much as possible in as much detail as possible. This form is a very valuable tool that helps speed up the process of evaluation and treatment planning.
HIPAA Notice of Privacy Practices Statement: This 2 page document does not require a signature, it is just for your information. This form describes how confidentiality is handled by Nate Marshall Counseling, PLLC.
Informed Consent: This is an 8 page document that thoroughly describes the counseling process and other policies of Nate Marshall Counseling, PLLC. You will need to write your name on the top of each page and initial the bottom of each page, which indicates that you have read the information contained on that page. In the middle of page 4, there is a spot that requires another initial, indicating that you have been given access to the HIPAA Notice of Privacy Practices Statement (available above). Towards the top of page 7, there are three sections to initial to ensure that you have reviewed these particular policies, as they are very important. Towards the bottow of page 7 your signature, printed name, and date are required. FInally, page 8 is an overview of the fee schedule for different services offered through Nate Marshall Counseling, PLLC. On the bottom of this page is the final place where you will need to sign, print your name and provide the date.
Thank you for taking the time to complete these forms and I look forward to meeting you in our first session!