INTAKE FORMS

I understand that in this day and age, we must all be discerning about to whom and when we give our personal information. Please be assured that any information you provide goes no further than to Align Your Mind, LLC, specifically Lisa Smole. Your information is used solely to assess your needs, preferences and potential courses of action we will take together. Your privacy is protected in filling out these online forms - they are HIPAA compliant.

Please complete the online Intake Forms at least 2 business days before your first appointment. Because our time in session together is of utmost importance, I like to minimize administrative tasks during that time. The online Intake Forms are required prior to our work together.  This allows time to review and prepare in advance of our session so that our session time together is spent on addressing your needs and not on tending to administrative items such as forms, scheduling or payment. All of these things are to be done online.

If you are unable to complete the intake forms before your first appointment, please let Lisa know so other arrangements can be made. If completed forms are not received at least 2 business days in advance and other arrangements have not been made, then your appointment will automatically be cancelled or rescheduled and you will be notified.

These codes of conduct assure professionalism and that expectations are clearly defined, which frees up time and energy so that we can focus on your path of transformation. Please take a moment of time to read them.

 

INTAKE FORMs

These intake forms are for new clients who have a consultation or session scheduled already. Please complete the forms at least 2 business days before your first appointment. 

AUTHORIZATION form

It is Lisa Smole's standard of practice to work in partnership with other professionals so that clients receive the best care possible. The Authorization Form authorizes to release your information or to obtain your information. It is applicable only if you are under the care of a physician, psychotherapist, psychologist, psychiatrist or other health care professional for which you are seeking help with from Align Your Mind. If you are uncertain if this form applies to you, you can wait. We'll talk about it together in order to determine if it applies to you. 

It is only with the heart that one can see rightly; what is essential is invisible to the eye.
— Antoine de Saint-Exupery