Helpful Forms

If you’re a new client, please complete the following forms and send them to your therapist prior to your first therapy session.

Office Policies-Juliana Eulert, LMFT NM, LPCC CA

Consent to use unencrypted email or text

Notice of Privacy Practices

Intake Form

Telehealth Psychotherapy Informed Consent Form

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:

Release of information

If you have any questions or concerns regarding these forms and their content, please do not hesitate to email me at jepsychotherapy@gmail.com, or call me at 505-289-7115 and I will be happy to help.