Forms

Please choose the Therapist you will be seeing to obtain the necessary forms.

DR. KEN BATEMAN

Ed.D., LMFT-S, LPC-S

As a Marriage and Family therapist I have training in the dynamics of couple and family relationships. Counseling isn’t just listening, it’s teaching tools and offering new methods for communication, stress management and solving problems.

Counseling: Adobe PDF | Microsoft Word

 

Neurofeedback: Adobe PDF

 

Release of Information: Adobe PDF | Microsoft Word

KERI RIGGS

M.A., LPC-S

My counseling style is collaborative, supportive, practical and strengths-based. With over 20 years’ experience in private practice, community mental health and psychiatric hospital programs, clients benefit from my maturity and breadth of knowledge.

Counseling: Adobe PDF | Microsoft Word

 

Insurance : Adobe PDF | Microsoft Word

 

Release of Information: Adobe PDF | Microsoft Word

FRANK GEIS

M.A., LPC, LMFT, Neurotherapist

Life is relational and in being so; it has challenges. I am a relational therapist who assist in finding solutions rather than merely “dancing around” the issues. I work with marriages, couples, individuals and adolescents. I incorporate Neurofeedback in dealing with trauma, stress, anxiety, anger, and cognitive issues.

Counseling: Adobe PDF

 

Neurofeedback: Adobe PDF

 

Insurance : Adobe PDF

 

Release of Information: Adobe PDF | Microsoft Word

ROBIN POWELL

LCSW-S, CT

I am a specialist in grief counseling and am a Certified Thanatologist through the Association for Death Education and Counseling (ADEC). Many things come under the heading of grief, including divorce, caregiver stress, coping with elderly parents, and job loss.

Counseling: Adobe PDF | Microsoft Word

 

Insurance : Adobe PDF | Microsoft Word

 

Release of Information: Adobe PDF | Microsoft Word

JOE SHAW

M.A., LPC-S

I consider it a privilege to work with individuals, couples, and groups. I have worked in various settings including hospice, drug and alcohol rehab with dual diagnosis patients, community counseling center, and in private practice.

Counseling: Adobe PDF | Microsoft Word

 

Insurance : Adobe PDF | Microsoft Word

 

Release of Information: Adobe PDF | Microsoft Word

I have worked in the mental health field for over seventeen years, in private practice, hospital and treatment center settings. In addition to individual and couples counseling, I have facilitated trauma resolution groups and co-facilitated weekend trauma intensives.

Counseling: Adobe PDF

 

Insurance : Adobe PDF

 

Release of Information: Adobe PDF

KIM KAYS

M.S., LPC Intern, LCDC

I’m a counselor who specializes in helping men and women facing “now what?” Now what is rooted in what did or didn’t happen, presently expressed in what is or isn’t happening!

Counseling: Adobe PDF | Microsoft Word

 

Release of Information: Adobe PDF | Microsoft Word

SUMMER HAASE

M.A., LPC – Intern

My experience with children, teens, adults, and families has allowed me the opportunity to facilitate and witness the incredible change and growth that can be accomplished through therapy.

Counseling: Adobe PDF

 

Release of Information: Adobe PDF

JAMIE YOO

M.A., LPC – Intern

Life is full of surprises and obstacles, but everyone has the capacity to find meaning and hope in their own lives. I can help my clients explore their emotions, thoughts, and core beliefs so that they can learn to adapt to a variety of life challenges and be comfortable with who they are.

Counseling: Adobe PDF

 

Release of Information: Adobe PDF

BRIDGET JOWID

M.S., LPC – Intern

My formal education, both undergraduate and graduate, has prepared me to counsel adolescents, adults, couples, families, and groups regarding topics on varieties of human experiences.

Counseling: Adobe PDF

 

Release of Information: Adobe PDF