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    • Home
    • About Us
      • Who We Are
      • Blue Couch Access Program
      • Contact us
    • Your Therapy Journey
      • Privacy Practices
      • Care Agreement Forms
      • Terms of Use
    • Services Offered
      • Intake Form
      • Book A Session
      • Insurance Accepted
    • Mental Wellness
      • Worksheets
      • Coloring Pages
    • From the Couch
      • Vendor Request
      • Our Community in Focus
      • Reviews & Testimonials

Signed in as:

filler@godaddy.com

  • Home
  • About Us
    • Who We Are
    • Blue Couch Access Program
    • Contact us
  • Your Therapy Journey
    • Privacy Practices
    • Care Agreement Forms
    • Terms of Use
  • Services Offered
    • Intake Form
    • Book A Session
    • Insurance Accepted
  • Mental Wellness
    • Worksheets
    • Coloring Pages
  • From the Couch
    • Vendor Request
    • Our Community in Focus
    • Reviews & Testimonials

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Forms

Blue Couch Therapy Forms

Exhibit A- Informed Consent & Confidentiality (pdf)Download
Exhibit B- Your Rights, Your Choices (pdf)Download
Exhibit D- Intent for Termination of Services (pdf)Download
Exhibit E- Release of Information (ROI) (pdf)Download
Exhibit F- Your Therapy Journey- What to Expect (pdf)Download

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All materials on this website, BlueCouchTherapy.co, including but not limited to text, forms, videos, and images, are the intellectual property of The KDC Agency (d/b/a Blue Couch Therapy) unless otherwise stated. These materials are provided exclusively for the use of our members and clients and may not be copied, distributed, or reproduced without prior written consent. By accessing this website, members and clients agree to the terms and conditions outlined in our Terms of Use.

The provider does not assume responsibility for any errors, omissions, or inaccuracies contained within the website’s content. 



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