Forms

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

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:


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

LIFE-COACH AGREEMENT 2023 Internationally-based clients.pdf


Note: To download Adobe Acrobat Reader for free, Click here.


Aniko Yazmin Lewis, M.Sc. in Counselling/Specialization in Clinical Mental Health.