Thank you so much for trusting our therapists at Lakeshore Counseling and Coaching, PLLC. In order to complete our new patient registration process, you will register as a new patient, review and sign a professional disclosure statement, complete an assessment form, and review and sign Lakeshore Counseling and Coaching, PLLC intake documentation. The steps and all necessary resources are provided below.
Registering as a New Patient
In order to maximize our time in the first session, please register as a new patient in our electronic medical records. Please click on your therapist's name below and follow these 4 easy steps:
Step 1: Please click on your therapist below. You will be taken to a portal for our electronic medical records.
Step 2: Please click on the "Register as a New Patient/Client" button. You will be taken to a "Self-Registration" page.
Step 3: Please complete the forms on this page in their entirety as applicable, and then click the "Submit Information to [your therapist]" button.
Step 4: You will be taken to a new landing page and asked to "Complete Form Now." Please complete this form in its entirety as it contains relevant assessment information that will assist the therapist in working with you.
You are now registered in our electronic health records as a new patient with your chosen therapist. If you have any questions, please call us at 704-999-0505 and we will be happy to provide further assistance.
New Patient Forms
In order to maximize time in our first session, please complete these forms in advance if possible and return them to your therapist. You may fax, mail, email, or bring these forms to your therapist at the first session. To complete the necessary forms, please follow these 3 easy steps.
Step 1: Click on your therapist below to review and sign your therapist's "Professional Disclosure Statement." You will save the "Professional Disclosure Statement" to your device, sign it, save it or print it, and return it to your therapist.
Rachel Hinson, MA, LMFT
Step 2: Please choose the form that fits the services the client will be receiving and click on the assessment form below and complete it in its entirety. You will save the form to your device, complete it, sign it, save it or print it, and return it to your therapist.
Minor Individual Assessment Form
Step 3: Click on the intake documentation form below and review, sign, and complete each page in its entirety. You will save the forms to your device, complete it, sign it, save it or print it, and return it to your therapist.
Thank you so much for trusting and choosing Lakeshore Counseling and Coaching, PLLC. If you have any questions about the registration process or forms, please do not hesitate to call us directly at 704-999-0505.
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