Kim Shaffer, LCPC, Counseling Services

If you’re a new client, please print and complete the appropriate packet and bring to your first therapy session. Links for:

• Confidential Communications
• Demographics
• Medication Log
• Notice of Privacy Practices

If you would like me to coordinate care with another provider such as your psychiatrist or primary care physician, complete this form to authorize release of psychotherapy information:

• Authorization to Disclose Information Form