Required for therapist to speak on your behalf with any other person. Couples/Families please fill out one for each member.

All the forms you need are available here below.

Required for all.

Required for couples. Only one form needed per couple.

Required for all.

Required for all. Couples/Families please print and fill out one for each member.

Yours to keep if you like.

Required for all. Please print and fill out one for each couple/family member.

Required for all. Couples/Families please fill out one for each member.

STEP 1. Click on the green button for each form you need.

STEP 2. Download and print each form.

STEP 3. Fill out the forms completely.

STEP 4. Scan the forms and email them back to me at Marty@MartySimpsonMFT.com PRIOR to your first session with me. I cannot begin Psychotherapy with you until I am in receipt of the forms.

STEP 5. Once emailed, mail all the completed, signed forms to me at the address on the forms, so I have the originals for your chart. I cannot continue therapy with you without the original forms/signatures.


If you are unable to print the forms I can mail them to you, however, this may delay the start of our work by several weeks. Please let me know by text if this is the case.