Sandy Tudor, Licensed Mental Health Counselor, Renton WA

Forms

Here are the forms that you will need to download, print out, fill in with your information, and bring with you to your next counseling session. If you have any questions about these forms, please contact me by email or phone.

Adult Intake Form: http://www.sandytudor.com/wp-content/uploads/2016/02/1.-Adult-Intake.pdf

Adolescent Intake Form: http://www.sandytudor.com/wp-content/uploads/2016/02/2.-Adolescent-Intake.pdf

Chile Intake Form (under 13): http://www.sandytudor.com/wp-content/uploads/2016/02/3.-Child-under-13-Intake.pdf

Parental Supplement: http://www.sandytudor.com/wp-content/uploads/2016/02/4.-Parent-Supplement-for-Adolescent-Client-.pdf

Office Policies: http://www.sandytudor.com/wp-content/uploads/2016/02/5.-Office-Policies-2016.pdf

Electronic Communications: http://www.sandytudor.com/wp-content/uploads/2016/02/8.-Electronic-Communications.pdf

HIPPA Privacy Practices: http://www.sandytudor.com/wp-content/uploads/2016/02/7.-HIPAA-Notice-of-Privacy-Practices.pdf

Contact Me

Sandy Tudor, Mental Health Therapist Renton Sandy Tudor, MA, LMHC
Licensed Mental Health Counselor
206-914-0426 (cell)
888-972-8305 (fax)

Aquiline Counseling LLC
258 SW 43rd. St. Blg. #3, Suite #C
Renton, WA 98057

EMDRIA Certified EMDR Therapist
Amen Clinics Affiliate
Code 4 Northwest Counselor & Volunteer
Mental Health First Aid Instructor

Cash, checks, debit and credit cards are accepted.

Contact Me for a Personal Counseling Session