Individual Counseling Couples Counseling Adolescent Therapy and Family Therapy in Bethesda, Chevy Chase, Rockville, Silver Spring, Potomac, Kensignton and Georgetown Maryland and North West Washington D.C.

Counseling for Contentment LLC requires that each client read and sign some forms in order to begin the therapeutic process. This is for your benefit and will give you additional information about my practice, as well as provide important information to the therapist so that he or she can best work with you.

These forms include: Private Practice Policies; Client Information Form and Informed Consent Form and Symptom Checklist which assist in the process of getting to know the issues and concerns with which a client initially presents. There are also forms specifically for couples to read and fill-out:

The policy and consent form outlines specific policies of Counseling for Contentment LLC and gives important, general information about the therapeutic process, techniques used, procedures for appointments and cancellations and other relevant information. You must read this before signing the consent form.

In order to facilitate the process of starting therapy, these forms are available to the right. These can be downloaded as a Word document and filled out at your leisure and brought to the first appointment. These forms can also be e-mailed back to Marie Choppin. E-mailing allows the therapist is evaluate the information prior to the initial meeting, however, it is not necessary.

All forms, except one*, are created conventiently as Microsoft Word documents for you to easily fill out and email back to Marie Choppin. Detailed instructions are included in each document for your convenience.

Required Forms

Private Practice Policies
Client Information Form and Informed Consent
*Interactive Symptom Checklist
This form is created as an interactive PDF. Just right click on the filenname above and select "Save File As" to download the form. Next, open with Adobe Acrobat Reader 9, and fill out the form right on your computer! Then, simply click the "submit form" button or save the file and email it back to us! If you are visiting us for couples therapy, each person in the couple should fill out the form separately. Don't have Adobe Acrobat 9? Click here for a free download.

For Couples - Additional Forms

HIPAA

HIPAA Policy Information

For a phone consultation or information, call 301-625-9102 and begin your journey towards contentment, healing and change. Now serving Bethesda, Maryland and North West Washington D.C.

I was always looking outside myself for strength and confidence but it comes from within: it was there all the time.
-Anna Freud