Brockport Marriage & Family Therapy, P.C.
Jennifer King, LMFT

Forms

  1. Intake Packet
    Please bring a copy of the Intake Packet to your first appointment. Each member of the treatment team will need to complete their own packet. If you are completing the packet for a child, all information pertaining to prior treatment and medication will pertain to the child.
  2. Informed Consent
    The Informed Consent provides a philosophy of care and summary of practice procedures. We will go over this document together at the first session.
  3. Privacy Guidelines
    The Privacy Guidelines provide a framework for understanding how your personal and identifying information is treated. We will go over this document together at the first session.
  4. Disclosure Authorization
    The Disclosure Authorization form allows communication to occur between your therapist at Brockport Marriage & Family Therapy and other providers. This document allows clients to direct what, if any, information will be communicated.