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  • Home
  • Sex Therapy
  • Meet Yvette
  • TELEHEALTH
  • Fees
  • Forms
  • Resources
  • Sex Talk
  • Confidentialty
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YOUR CART

FORMS

NEW CLIENT FORMS

Once you download, print, and complete the appropriate forms, you may send them via secure transfer by scanning the completed documents into your computer and using the button below.  You will be taken to the Secure  Document Transfer page of this website.  Or, you may bring them in for your initial visit.
Secure document transfer

Couple New Client Packet

Couples Counseling
File Size: 910 kb
File Type: pdf
Download File


Individual New Client Packet

Individual Counseling
File Size: 874 kb
File Type: pdf
Download File


Telehealth Addendum Form

Telehealth Consent Form
File Size: 112 kb
File Type: pdf
Download File


OTHER HELPFUL FORMS

Couple Assessment - Ask me about taking the Gottman Relationship Checkup


Adverse Childhood Experience Inventory

ace-score.doc.pdf
File Size: 42 kb
File Type: pdf
Download File


Female Sexual Function Inventory

fsfi.pdf
File Size: 19 kb
File Type: pdf
Download File


Male Sexual Health Questionnaire

mshq.pdf
File Size: 389 kb
File Type: pdf
Download File


Sexual Symptom Assessment Scale - Evaluates problematic sexual behaviors.

sexual_symptom.pdf
File Size: 89 kb
File Type: pdf
Download File


Hyper Sexual Behavior Consequences Scale -  Evaluates adverse consequences from sexual behaviors.

hypersexual-behavior-consequences-scale.pdf
File Size: 44 kb
File Type: pdf
Download File


Release of Medical Information

dr_release_of_information.pdf
File Size: 196 kb
File Type: pdf
Download File


What is Your Attachment Style? - Clicking the button below will take you to a different site.  Print your results and bring to your next session.

Attachment style survey
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