Prior to your counseling appointment please download the Intake Questionnaire, Informed Consent and Telehealth Consent Forms according to if you are private pay or using insurance (Ambetter or Blue Cross Blue Shield).

For in-person sessions print the forms, fill them out and bring to your first appointment. If you don’t have access to a printer you can use the method below.

Telehealth sessions: The PDF’s are fillable on-line. Download them to your computer or device, fill them out, save them, and then attach them to an email and send them to kaycie@kayciemarler-rushlcsw.com prior to your first appointment.

FOR TELE-MENTAL HEALTH SESSIONS

Please read and sign the informed consent below along with the appropriate informed consent above.

FLOWER ESSENCE THERAPY FORM

If you are interested in Flower Essence Therapy as part of your Contemplative Psychotherapy or Spiritual Mentoring session please download the Flower Essence Questionnaire, complete the form, and bring it with you to your session.