(808) 226-9442 edwinareyes@gmail.com
 

First Visit Forms

The following forms will need to be completed before scheduling your first session. Each session is typically 45-50 minutes.

PLEASE NOTE I do not accept any cases that have active court involvement (i.e. Child Welfare, Divorce/Custody, Criminal).

If the primary patient is a minor (under age 18), please also complete the child/adolescent intake information form. For minors in counseling, the legal parent or guardian must sign the consent forms. For shared custody, both parents must sign the consent forms.

If you plan to utilize your insurance, please attach:

  • A photo of your medical insurance card
  • A photo of your picture ID (Driver’s License, State ID, Etc.)

Please indicate to me via email if you are preferring in-person or telehealth sessions.

Once completed, please email the completed forms and items to edwinareyes@gmail.com.

 

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