Jackson Tecmire, LMFT
~INTAKE PAPERWORK~

Welcome! If you have an initial assessment scheduled with me, please bring the following completed paperwork to your first appointment.

1. Notice of Privacy Practices - HIPAA

2. Adult Intake Packet for the first session - Initial Assessment for adult clients only

                                                      ~ OR ~

   Kids or Teens Intake Packet for the first session - Initial Assessment for child/adolescent clients

If you have trouble downloading or printing these forms, please let us know by calling 405.285.7332 or email [email protected] so that we can make other arrangements.

I will see you at your initial appointment! I look forward to working with you.
​~ Jackson