Marty Seyler LMHC CFLE PA

Marty Seyler LMHC CFLE PAMarty Seyler LMHC CFLE PAMarty Seyler LMHC CFLE PA
  • Home Page
  • About Us
  • Mind Body Therapies
  • Client Forms
  • Workshops/Seminars
    • Home Page
    • About Us
    • Mind Body Therapies
    • Client Forms
    • Workshops/Seminars

Marty Seyler LMHC CFLE PA

Marty Seyler LMHC CFLE PAMarty Seyler LMHC CFLE PAMarty Seyler LMHC CFLE PA

  • Home Page
  • About Us
  • Mind Body Therapies
  • Client Forms
  • Workshops/Seminars

FORMS


New Clients using Health Insurance or Self Paying may download and complete the  three forms below and bring to our first session to save time.   If you are unable to download. print and fill our these forms, you may fill them out at our first appointment.  


Clients using an Employee Assistance Programs (EAP) would complete the Client Registration Form and either the EAP Specific  Statement of Understanding, which I will email  you,. or in some cases the one on here, 


In our first conversation if other forms, like the Depression Screening, or Relationship Questionnaire, might be helpful, I will forward those to you.



 

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real blank statement_of_understanding (6) (pdf)

Download

blank client_registration (1) (pdf)

Download

blank payment agreement (pdf)

Download

During Covid 19 Pandemic while we are meeting via TELEHEALTH, I ask that all clients complete forms

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