ResilientFamilies.com

Committed to Strengthening Families

Forms and Privacy Information

Adult Intake Packet

Child/Adolescent Intake Packet

Authorization for Release of Information Form

Referral Form (for use by therapist, physicians, and other providers)

HIPPA & Privacy Information

Quotable

"In all cultures, the family imprints its members with selfhood. Human experience of identity has two elements; a sense of belonging and a sense of being separate. The laboratory in which these ingredients are mixed and dispensed is the family, the matrix of identity."

- Salvador Minuchin
Father of Family Therapy