Andrea von Troschke
Here are some forms that I may ask you to print and fill out:
For our first session, please bring the intake form, which collects information relevant to therapy:
The consent form below explains therapy, my qualifications, fee, cancellation policy, confidentiality, emergency contacts. By signing it, you acknowledge and agree to my office policies.
This form is only necessary, if you submit a super bill with a diagnosis to your health insurance. By signing the Notice of Privacy Practices (npp), you acknowledge the information and allow me to exchange clinical information with your insurance.
Andrea von Troschke, MFT, ATR, BCPC (License MFC 45893) Marriage and Family Therapist, Art Therapist Registered, Board Certified Professional Counselor