Jason E. Dodd
New Client Documents
(PDFs)
Completion of the following forms is required before beginning treatment with Jason. Please read each document carefully, as they pertain to Jason's clinical and business policies, as well as your informed consent and legally protected client rights. Please feel invited to print and fill them out prior to attending your first office appointment. Bringing completed intake documents with you will save time in our waiting room and maximize your initial session time.
1 ) Counselor Disclosure Statement (Required for Initial Office Appointment with Jason)
2 ) Confidential Client Information (Required for Initial Office Appointment with Jason)
General
The following Rally Forward documents (PDFs) are for general use.
1 ) Driving Directions to Rally Forward Counseling
(RECOMMENDED: G-Maps and GPS tend to get people lost once they have entered the Bellefield Office Complex, or they do not always account for current construction-related road closures, so we recommend printing these old-fashioned driving directions to save time and frustration.)
2 ) PCL-C PTSD Scale
3 ) Burns Depression Inventory
5 ) Release of Information (Jason only)