These PDF forms are available for new clients to download and fill out when beginning therapy with Shelby Riley, LMFT & Associates.
- Client Info
- Informed Consent
- Release of Information (optional)
- Card on File Authorization (optional)
If you wish to fill out these forms on your computer and email them, you may do so free of charge with Adobe Reader.
New Client Checklist
Please email the following forms to your therapist prior to the first session, or you may bring them to your first session:
- Completed Client Information Form
- Completed Informed Consent
- You may give your therapist permission to keep your card on file by completing this Card on File Authorization Form.
- We accept payment via credit card or ACH bank transfer via Square. If necessary, you can also pay by check brought to your session. Checks can be made payable to “SR&A.”
Please allow an extra 5 minutes to find the office. Most people drive by it the first time they come.
We look forward to meeting with you.
