Marisha Senyo, MA, LMFT

Helpful Forms

If you are a first-time client, please review and complete the following forms, and bring them to your first session.

In addition, if you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), you will be asked to complete a consent to release information in the first session.

Click here to download a form for you give written permission for evaluation and treatment.(PDF format)

Click here to download a form that you can fill out so that I can get to know you and understand you better.(PDF format)

Click here to download a document that provides an overview of my treatment philosophy, my qualifications, and your rights as a client.(PDF format)

Click here to download a document that describes how I keep your personal health information private.(PDF format)

Click here to download a form that you sign acknowledging that you have been provided information about my services and your privacy.(PDF format)