PEAK PROFESSIONAL GROUP, PLLC - LIVE WITH PURPOSE & INTENTION
  • About
  • Virtual Visits
    • My Virtual Visit
    • Virtual Groups >
      • Be Badass Women's Virtual Group
    • Sign My Virtual Visit Informed Consent
    • Provider Virtual Log in
  • Meet the Peak Family
    • Samantha Mahon, LCMHC
    • Pendy Payne, LCSW
    • Erika Hoeckberg, LCSWA
    • Sarah Mariano, LCSW
    • Laurie Nicholson- Counseling Inter
    • Bethany Collins, LCSW
    • Julianne Evans, LCMHC
    • Laurie Macdonald, LCSW
    • Matt Morano, PhD, LCMHC
    • Chantel Washington, LCMHC
    • Beverly Brosnick, LCSWA
    • Maxwell Kirn, LCSW
    • Cindy Hickman, LCMHC
    • Joanne Lisa, NCC, LCMHC
    • Alicia Blankenship, LCSW
    • Join our Team- Private Practice Opportunities >
      • Probably the most Badass Therapist position ever!!!
  • Appointment Request Form
  • Rapid Resolution Therapy
  • New Client Forms
    • SIgn my Informed Consent For Treatment
    • Sign My Virtual Visit Informed Consent
  • FAQS
  • Learn more about us!
    • Individual Counseling
    • PPG- Couples and Family Therapy services- Apex and Pittsboro >
      • The Simple Things in Love & Life
    • Counseling & Therapy Facts >
      • What is Therapy?
      • Do I need Therapy? >
        • Online Screening Tools
      • What does it feel like to be in therapy?
      • How do I find a therapist?
      • Paying for therapy
    • Insurance
    • Our Therapist Bookshelf
    • The Woman Warrior
    • Proactive Parenting
    • Counseling in Pittsboro
  • Contact
  • School-based Referrals
  • Need some Inspiration?
  • The Struggle Bus Blog
  • About
  • Learn more about therapy
  • Contact your therapist!
  • Stress Management during Quarentine
  • Keepin' it real
  • The Peak Response to Covid-19
  • Covid 19 Updates

Informed Consent for Treatment

    Informed Consent for Treatment

    [object Object]
    [object Object]
    Current Areas of Concern:
    Please rate how the issue(s) below are affecting the following areas of the client’s life.
    1= No Effect to Seldom Effect 2= Moderate Effect 3= Significant Effect
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Live with Purpose & Intention

Office: (919) 335-3105
Mobile: (919) 800-8114
24 hour crisis coverage line:  (919) 412-5685
Fax: (919) 355-5694
Email: Sarah@peakprofessionalgroup.com

  • About
  • Virtual Visits
    • My Virtual Visit
    • Virtual Groups >
      • Be Badass Women's Virtual Group
    • Sign My Virtual Visit Informed Consent
    • Provider Virtual Log in
  • Meet the Peak Family
    • Samantha Mahon, LCMHC
    • Pendy Payne, LCSW
    • Erika Hoeckberg, LCSWA
    • Sarah Mariano, LCSW
    • Laurie Nicholson- Counseling Inter
    • Bethany Collins, LCSW
    • Julianne Evans, LCMHC
    • Laurie Macdonald, LCSW
    • Matt Morano, PhD, LCMHC
    • Chantel Washington, LCMHC
    • Beverly Brosnick, LCSWA
    • Maxwell Kirn, LCSW
    • Cindy Hickman, LCMHC
    • Joanne Lisa, NCC, LCMHC
    • Alicia Blankenship, LCSW
    • Join our Team- Private Practice Opportunities >
      • Probably the most Badass Therapist position ever!!!
  • Appointment Request Form
  • Rapid Resolution Therapy
  • New Client Forms
    • SIgn my Informed Consent For Treatment
    • Sign My Virtual Visit Informed Consent
  • FAQS
  • Learn more about us!
    • Individual Counseling
    • PPG- Couples and Family Therapy services- Apex and Pittsboro >
      • The Simple Things in Love & Life
    • Counseling & Therapy Facts >
      • What is Therapy?
      • Do I need Therapy? >
        • Online Screening Tools
      • What does it feel like to be in therapy?
      • How do I find a therapist?
      • Paying for therapy
    • Insurance
    • Our Therapist Bookshelf
    • The Woman Warrior
    • Proactive Parenting
    • Counseling in Pittsboro
  • Contact
  • School-based Referrals
  • Need some Inspiration?
  • The Struggle Bus Blog
  • About
  • Learn more about therapy
  • Contact your therapist!
  • Stress Management during Quarentine
  • Keepin' it real
  • The Peak Response to Covid-19
  • Covid 19 Updates