(614) 662-0565 | JenniferBloomLCSW@gmail.com
Client Intake
Packet
Therapist / Client General Info
Limits of Confidentiality
Authorization for Release
Questionnaire form
House-Keeping/ Policies
Consultation: Before deciding on if you’d like to work with me or not, I offer a complimentary fifteen minute session with you over Zoom to answer your questions. By the end of the consultation, you’ll have a pretty good idea if I’d be a good fit for your therapy needs. We will be discussing pricing of sessions during this consultation.
Getting Started:
Assuming that you’ve decided to move forward, Above is paperwork I ask that you fill out. Once you’ve completed filling out everything, please email all of the documents in a pdf form and attach it to the email. Once you’ve sent everything to me, I will review it and take notes so you don’t feel like you’re repeating yourself during our first meeting.
First Session:
During your first session we will start to unpack issues as well as explore your goals and what you’d like to accomplish while in therapy.
Billing and Payments:
I prefer being paid before your appointment. I accept payments from Venmo, Cash-App, and Zelle.
Late Cancelation Policy:
Due to a high volume of people wanting services, please contact me 24-48 hours prior to your scheduled appointment or you will be required to pay a late fee. You’re late fee is the same amount of money as your regular session fee. I have this policy in place because your time could have been used by someone else.