Tracie Strucker, PhD LCMFT

Eating Disorder Therapy & Consultation forms.png

Please print and review the forms below before your first session if possible.  We will spend a few minutes at the beginning of the session to discuss the framework for therapy with me of which these forms are an important and necessary part of the process. Forms to review before the first session:

Patient Information

Consent to Treatment

Confidentiality in Therapy

Fee Agreement

Please read the Privacy Practices (click here)and then print and sign the consent form below if you don't have any questions.

NPP Consent Form


Forms to fill out as needed:

Release of Information