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New Patients

Please note, currently the only way to submit New Patient Forms in a HIPAA compliant way is by mail. Also please note, I have provided two versions of Informed Consent. One is full text and the other is signature pages only

To Print & Submit

For Reference

Other Forms

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Authorization to Exchange Information Consent Form 

(also known as a Release of Information)

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Mystical Experiences Questionnaire

(MEQ30, 2015: Barrett-FS & Johnson-MW & Griffiths-RR_2015_MEQ30_Mystical Experience Questionnaire)

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Tools for Patients in Therapy

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Bibliotherapy for Individuals

A list of resources I commonly refer people to. Interesting further reading.

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Bibliotherapy for Parents

A list of resources I commonly refer people to. Interesting further reading.

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NVC Feelings Inventory

(retreived in 2018 from CNVC.org)

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NVC Needs Inventory

(retreived in 2018 from CNVC.org)

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Universal and International Human Rights

For more information on Universal and International Human Rights, see University of Minnesota’s Human Rights Library.  

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Intersection of Health and Human Rights, see Vernellia R. Randall’s website (2010) Institute on Race, Health Care and the Law at The University of Dayton School of Law, and the World Health Organization (WHO) page on Health and Human Rights (2017).

Academic Resources

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