Forms

If you would like to complete your paperwork prior to your first session, please feel free to print these documents, complete them and bring them with you.

Registration Form

This form is required for all new clients. If you are completing this form for someone else (such as a child or a spouse) please make sure it is that person's information that you use on this form.

Practice Policies

This form gives you information about Marianne Tomlinson Therapy, LLC. Please read this form and sign the last page. If you have any questions, please don't hesitate to bring them up at our first session.

Financial Policy 

The Financial Policy form explains the financial policies of the office. Please make yourself familiar with the policy, sign and date the last page and bring this form with you to your first visit.

Informed Consent for Teletherapy Services

Please complete this form if you would like to use our Teletherapy or Online Counseling services. 

Notice of Privacy Practices
Receipt of Notice of Privacy Practices 

Please print and read the document and then print and sign the accompanying signature form. Any child over the age of 12 must sign in addition to their parent or guardian. 

Authorization for Release of Information

This form must be completed only if you want your therapist to speak or give information to someone else about you. Otherwise, this form does not need to be completed.

Contact Me

Location

Availability

Primary

Monday:

9:00 am-8:00 pm

Tuesday:

9:00 am-8:00 pm

Wednesday:

9:00 am-8:00 pm

Thursday:

9:00 am-8:00 pm

Friday:

9:00 am-5:00 pm

Saturday:

By Appointment Only

Sunday:

By Appointment Only