• Home
  • Contact Us
  • Services
  • Meet Our Therapists
  • First Responders
  • High Profile Clients
  • Speaking/Awards
  • Publications/Podcast
  • Community Partners
  • Blog
  • Ms. Woman Tennessee
  • More
    • Home
    • Contact Us
    • Services
    • Meet Our Therapists
    • First Responders
    • High Profile Clients
    • Speaking/Awards
    • Publications/Podcast
    • Community Partners
    • Blog
    • Ms. Woman Tennessee

970-430-6552

970-430-6552

  • Home
  • Contact Us
  • Services
  • Meet Our Therapists
  • First Responders
  • High Profile Clients
  • Speaking/Awards
  • Publications/Podcast
  • Community Partners
  • Blog
  • Ms. Woman Tennessee

Client/Psychotherapist Intake Documents

Download our client intake forms below and return them to heatherbrookelpc@gmail.com with your therapist request. 

Once we receive your forms, we will get your benefits verified and get you scheduled as soon as possible. 

Heather Brooke, LPC Client Information Form (pdf)Download
HEATHER BROOKE, LPC DISCLOSURE STATEMENT (pdf)Download
Heather Brooke, LPC Informed Consent (pdf)Download
Heather Brooke, LPC Notice of Privacy Policies (pdf)Download
HEATHER BROOKE, LPC RELEASE OF INFORMATION OR AUTHORIZATION (pdf)Download

Contact Us

970-430-6552 heatherbrookelpc@gmail.com

Hours

Open today

09:00 am – 05:00 pm

Drop us a line!

Attach Client Contract
Attachments (0)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Cancel

Copyright © 2026 Heather Brooke, LPC - All Rights Reserved.

Powered by

  • Ms. Woman Tennessee

Now Serving:

AZ, CO, WY, MN, AR, LA, TN, IN, OH GA via Telehealth

CO & TN - In-Person

Schedule