My Blog

My WordPress Blog

262-221-3971
julie@juliefordmft.com
  • Home
  • About Me
  • My Services
  • Extended Sessions
  • Getting Started
    • How I Work
    • Appointment Request
    • Client Forms
  • Resources
    • FAQ’s
    • Recommended Books
    • National Mental Health Links
    • National Physical Health Links
  • Contact Me

Client Forms

If you are a new client, please download and fill out the following forms. If you bring them to your session it will help ease you into the process, and will allow us to focus on our work together.

  • Intake Form
  • Symptom Checklist
  • Notice of Privacy Practices
  • Disclosure Statement and Agreement for Services
  • Acknowledgement of Receipt of Notice of Privacy Practices
  • Consent for Teletherapy Sessions

Contact Info


Julie Ford, MFT
15850 W. Bluemound Road Suite 316 Brookfield, WI 53005
262-221-3971 julie@juliefordmft.com

Contact Me

    By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.
  • 15850 W. Bluemound Road Suite 316 Brookfield, WI 53005
  • 262-221-3971  |  julie@juliefordmft.com
Copyright © 2015 Julie Ford, MFT  |  Bright Site by Brighter Vision