McLeod Counseling Forms

New Client Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

Coordinating with other Specialists Form

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Schedule An Appointment With McLeod Counseling, PLLC

For A Complimentary Phone Consultation

If you are a new client wanting to schedule a counseling session or or an assessment service, please call us at 585-967-9700 or fill out our form with your best phone number and email so I can get back to you within 2 business days. 

As a reminder, I am committed to your privacy. Do not include confidential or private information regarding your health or condition as this form is for general questions and appointments.

Get In Touch

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