Timothy Rogers, M.A.,L.M.F.T. verified by GoodTherapy.org
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OFFICE FORMS

rogers family therapy

These forms do not obligate you to agree or 

continue to work with me, until we all decide it's a 'good fit.'

Agreement for Services Form (Adults)


Confidential Client Intake Form

(Adults)


HIPPA Compliance Form 

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Confidential Client Intake Form

(Child age 12-17)

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Law allowing 

Minors age 12 & above

To consent to their own treatment

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