Forms & Privacy

New client registration

New clients begin registration during a phone consultation with Angela. This keeps personal information exchanged only in a HIPAA-compliant way and gives you a chance to ask questions before your first session. (New clients can't register online on their own; contact Angela to get started.)

During the call, you'll receive an email invitation to the Resilient Counseling client portal to create a username and password. For security, the invitation expires in 48 hours and sometimes lands in your junk folder. Once in the portal, please fill out all demographic and insurance information and complete all initial paperwork. Forms are signed by digital signature, so no paper is needed.

Couples and families

During the initial consultation call, Angela will discuss which partner or family member will complete the portal paperwork as the "identified patient" for billing and/or medical records. Partners and other participants in couples or family sessions sign the Family & Couples Policy, receive additional policy information, and share details about their history in the first session. See the Family & Couples Policies below, or call the office for more details.

Please contact the office if you have any difficulty completing paperwork.

Documents

• Office Policies, Client Rights & Responsibilities (PDF)
• HIPAA Notice of Privacy Practices (PDF)
• Authorization for Release of Information (PDF)
• Referral Form (PDF, for therapists, physicians, and other providers)
• Informed Consent for Telehealth Services (PDF)
• Family & Couples Policies for Clients Using Insurance (PDF)
• Family & Couples Policies for Private Pay Clients (PDF)

Your privacy

Your health information is protected under HIPAA. Please do not send health or treatment details through this website's contact form or regular email; use the secure client portal or call the office.