Documents

Prior to Your First Session…

Sanctuary Counseling Groups requires a number of forms in order to best serve the needs of our clients. The forms will vary depending on which therapist you are scheduled to see. These forms will be sent to you for digital completion.

Privacy Practices (pdf)

Informed Consent (pdf)

Payment Method Agreement (pdf)

PLEASE SCROLL TO THE THERAPIST YOU WILL BE SEEING FOR A COPY OF THE PROFESSIONAL DISCLOSURE STATEMENT PERTAINING TO YOUR PARTICULAR THERAPIST.

Melanie Burnett, M.S., LCMHCA, NCC

Melanie Burnett Professional Disclosure Statement (NC LCMHC)

Jay Cobb, M.A., LMFT, LCMHC

Jay Cobb Professional Disclosure Statement (NC LCMHC)

Liz Holloway, MA, LCMHCA

Liz Holloway Professional Disclosure Statement (NC LCMHCA)

Sandra Kahn, M.A., LCMHC

Sandra Kahn Professional Disclosure Statement (NC LCMHC)

Daija Prather, M.A., LCMHCA, NCC

Daija Prather Professional Disclosure Statement (NC LCMHCA)

Katherine Sherrill, M.A., LCMHC, MT-BC

Katherine Sherrill Professional Disclosure Statement (NC LCMHC)