Lois Thomson Bowersock & Associates
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  • Retirement Letter
  • Contact us
Lois Thomson Bowersock & Associates
  • Home
  • Client forms
  • Telehealth
  • Retirement Letter
  • Contact us

Client forms

Client Information & Consent Forms

  1. Animal Assisted Therapy Consent & Release Form
  2. Authorization Consent for Use & Disclosure of Protected Health Information
  3. Biopsychosocial
  4. Credit Card Authorization from Client
  5. Distance Therapy Client Information & Consent
  6. HIPAA Policy Notice
  7. Missed Appointment, Late Cancellation Policy
  8. New Client Information & Consent
  9. Parental Waiver of Right to Child's Records
  10. Good Faith Estimate

Client Resource Forms

  1. Addiction and Codependency Model
  2. Anger Log
  3. Boundaries Made Easy – P.A.D. Formula
  4. Brain Connection
  5. Disease Model of Addiction
  6. Family of Origin Worksheet
  7. Foundational Needs
  8. Hokey Cheesy Model for Assertiveness
  9. Physical, Emotional & Spiritual Map
  10. Personal Inventory Method
  11. Recovery Diary

Lois Thomson Bowersock

Contact us

281-782-6755

lois@parentscoach.com

© 2024 Lois Thomson Bowersock & Associates
281-782-6755 • lois@parentscoach.com