INTAKE FORMS
| tanya_hansen_therapy_video_counselling_consent.docx |
| provisional_psychologist_consent_form.docx |
If you are a new client with Tanya Hansen Therapy, please complete the above forms and then scan and email them to tanya@tanyahansentherapy.com
or fax to 403-982-1986.
If you require me to coordinate care or provide documentation of dates and times attended with another provider or with your employer, please complete this form to authorize release of psychotherapy/counselling information:
or fax to 403-982-1986.
- Client Psychotherapy/Counselling Intake Form
- Provisional Psychologist Consent form
If you require me to coordinate care or provide documentation of dates and times attended with another provider or with your employer, please complete this form to authorize release of psychotherapy/counselling information:
- Disclosure of Confidential Information Form - please note if there is more than one adult attending the session(s), then both/all adults in the session need to sign off for information to be released
