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 specialize in trauma resolution, am an EMDRIA Approved Consultant and am Certified in EMDR therapy. Trauma includes many types of distressing life events. EMDR helps people heal from the emotional distress that can result from experiencing trauma. I work with adults and couples and offer both weekday and weekend appointments.

Counseling: Adobe PDF

 

Insurance : Adobe PDF

 

Release of Information: Adobe PDF

KIM KAYS

M.S., LPC, 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

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