COVID-19 is stressful for everyone. Although my office is very private, I am offering a Tele-Med option by appointment

Helpful Forms

Nedra Voorhies, D.Min., LPC

  To determine your co-pay and to confirm that I am a provider for your insurance company,
contact your insurance company before your first appointment.  Bring your co-pay in cash or check.  I do not accept any cards. Medicare is not accepted.

If you are a new client, please complete the following forms and bring them to your first therapy session


Client Registration Form
Client Psychotherapy Intake Form
Limits of Confidentiality/Therapy Cancellation Policy

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:


Authorization to Disclose Information Form

Note: To download Adobe Acrobat Reader for free, click here .


Helpful Forms

Click here to view and print forms for your appointment.

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