top of page

Documentation Forms 

Below is a list of Documents that need's to be completed before the first session is started... These forms are for Individual Therapy, Family Sessions & Group Therapy. The forms for Workshops will not to be as intense but your safety with privacy practices and policies are required at Shavon Mariah Social Services. 

(Not Applicable at the moment) The final form, Insurance Authorization Instructions, gives you help in getting the necessary insurance authorization for the initial session.   You need to have the authorization prior to the first session, since most insurance companies do not pay for a session unless it has been pre-authorized.  I am glad to request this authorization but, if you choose to make the call yourself, this form tells you the specific steps in obtaining an authorization.

Intake Form - Help Me Understand Who You Are 

Informed Consent

Authorazation For Release Of Information

Notice of Private Practices 

Preauthorization Health Insurance

bottom of page