Practice Policy & Intake Forms

Home   Practice Policy & Intake Forms
notebook
Welcome, and thank you for taking the first step toward beginning therapy. The forms on this page are intended for all new clients to review and complete prior to your first appointment.
They include important information about practice policies, consent for treatment, and other materials that help ensure a smooth and supportive start to care.
You may complete the forms ahead of time and return them by email to theresamcukierskillc@gmail.com or bring the completed documents with you to your first session. If you are unable to complete them in advance, they will also be available for you in the office.
Completing these forms prior to your appointment is helpful, as it allows us to make the most of your scheduled time together and focus more fully on your goals and needs from the very beginning.
Contact Me
Whether you’re ready to start therapy or simply exploring your options, reaching out is a simple first step
Office hours 
& location
Monday
Closed
Tuesday
9:00 am - 5:00 pm
Wednesday
9:00 am - 5:00 pm
Thursday
9:00 am - 5:00 pm
Friday
Closed
Saturday & Sunday
Closed
Office Location
606 West Sophia Street
Maumee, OH 43537
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