Psychotherapy Practice Resources

Authorization to Disclose Protected Health Information

Signed when a patient requests protected health care information be disclosed regarding treatment. This form must be signed before any information is shared between parties.

Brief Health Questionnaire

This questionnaire is an important part of providing you with the best possible care. Answering these questions will help in understanding some of the concerns you may have.

Caffeine Questionnaire

It is amazing what products caffeine is, how much is in it, and the affects caffeine can have on the body. It can impact sleep, anxiety, and depression to name a few. Filling out this questionnaire can help provide better care.

Informed Consent for Psychotherapy Treatment

Ethically therapists obtain the informed consent of patients prior to treatment as a best practice. “Best practices” are those practices therapists engage in that are designed to ensure the therapist meets the best standard of care.

Practice Policies

Practice policies for effective psychotherapy.  

Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed. Please take a moment and review it carefully.



Disclaimer: The information on this website is not intended to be a substitute for medical diagnosis and treatment. If you are experiencing physical pain or emotional crisis, consult a medical and/or mental health professional.


© 2017 Carl Sayles, PsyD