Francine D Pritt, MS, LPC, NCC


Please print out all of the following forms 


1. Client History and Information

                                   2.Disclosure and Fee Statement



3 .Couples ONLY:  Please print and fill out this additional survey .

Note: To download Adobe Acrobat Reader for free Click Here

HIPPA form please click here to read.

* Please consider printing a second copy of "Disclosure and Fee Statement" for your records.

What to expect on your first visit:

The initial visit is called an  "intake". The purpose of the first visit is to gather history information, discuss presenting issues, establish your goals for therapy, and determine whether we are a good fit. During this time we will be getting familiar with one another, planting seeds of trust that will grow during our upcoming sessions.