Forms

New Therapy Patients

New patients seeing Dr. Henrie need to print and complete the below forms (i.e., New Patient Intake Questionnaire, Privacy Policy, Informed Consent, and Financial Agreement) in advance and arrive at your first appointment at its scheduled start time.

If you are unable to print and complete these forms ahead of time, notify Dr. Henrie at least 24 hours in advance, so she can leave a paper packet for you in the lobby. If you use this option, you will need to arrive to your first appointment 45 minutes early to complete the paper packet.

Dr. Henrie recognizes that the initial paperwork can be time intensive, but she assures you that this is a one-time requirement in service of full disclosure and policy comprehensiveness.

If you have any questions or concerns about any of the items or forms, leave the item(s) in question blank, and address them with Dr. Henrie at the start of your first appointment.

UNM Residents

UNM Residents seeing Dr. Henrie for a fitness for duty evaluation need to print and complete the below forms in advance and arrive at your evaluation appointment at its scheduled start time. Additionally, you will need to bring any relevant mental health records to your evaluation. 

If you have any questions or concerns about any of the items or forms, leave the item(s) in question blank, and address them with Dr. Henrie at the start of your first appointment.

Established Therapy Patients

If you would like Dr. Henrie to release your records to you or someone else, fill out the Release of Information form below, and give it to Dr. Henrie at your next session.

If you and Dr. Henrie have agreed to conduct a distance counseling session via the use of technology, print and complete the form below.