and Associates
  • Home
  • About Dr. Shannon
  • Therapy
  • Contact Me
  • FAQs
  • HIPAA
  • Schedule an Appointment
  • Forms and Documents
  • Resources for Clients

Forms and Documents

New Client Paperwork (for Adults)
New Client Paperwork (for Children/Adolescents)

Updated Client Paperwork (for Adults) 
Updated Client Paperwork (for Adults) - w/out Financial Information
Updated Client Paperwork (for Children/Adolescents)

Client Paperwork ( for Adults) - w/Sponsor
Client Paperwork (for Children/Adolescents) - w/Sponsor

Client Paperwork (for Adults) for Kylee Fisher, LMFT-A
Client Paperwork (for Children/Adolescents) for Kylee Fisher, LMFT-A

Payment Information Form

Informed Consent, HIPAA Agreement, and Office Policies and Procedures
Picture

Dr. Shannon Francom, LMFT-S
and Associates

Psychotherapy for Individuals, Couples, and Families
  • Home
  • About Dr. Shannon
  • Therapy
  • Contact Me
  • FAQs
  • HIPAA
  • Schedule an Appointment
  • Forms and Documents
  • Resources for Clients