FIRST SESSION PAPERWORK

Bachelor of Science in Early Childhood

Rostered Non-Licensed, Non-Certified Psychotherapist

Graduate Student in Clinical Mental Health Counseling at Northern Vermont University

3rd year in graduate school

Children, teens, young adults, and adults

Individual and family

Depression, anxiety, trauma, grief and loss, parenting issues, attachment issues, interpersonal conflict.

Monday, Wednesday, Thursday

8:00 am-12:00 pm

Colchester

802 264 5333 ext 112

Under the Supervision of 

Leora Black, Ph.D., LCMHC, LMFT

Please print off paperwork and complete.  Bring all the pages to the first session along with your insurance card.