For your convenience, you can download and complete the New Client Forms, Notice of Privacy Practices, and EMDR Assessment Forms before you come to your first session.

Please plan to spend approximately 30 minutes to complete the forms.  Due to the information required, it is best if you complete the forms at your home or office where you have access to your personal information.  If your first session is by Video, please email the completed forms to Crystal@CrystalHollenbeck.com  Thank you.

Three-Day Intensive Application

Please complete the Three-Day Intensive Application and Dr. Hollenbeck will contact you to set up an Intensive Phone Interview.

New Client Intake (Required)

Please complete the forms in their entirety prior to your first appointment to avoid spending your session time filing out the forms.  If your first session is by Video, email the completed forms to Crystal@CrystalHollenbeck.com prior to the session time. If you need to complete the forms at the office, please inform Dr. Hollenbeck by email or text and she will leave a copy of the forms in the waiting room for you to complete prior to your session time. Please plan on at least 30 minutes to complete. 

Notice of Privacy Practices (Required)

Please read, sign, and bring with you to the first appointment or email the signed form prior to your virtual session.

Disclosure Authorization

Please complete this form if you would like to give authorization for Dr. Hollenbeck to obtain copies of records from, share your records with, and/or consult with other professionals such as psychotherapists, medical doctors, psychiatrists, in-patient treatment facilities, etc. about your former or current treatment.

No Secrets Policy

All couples and/or families must read and sign this policy and bring with you to the first appointment.  Individuals seeking counseling alone do not need to complete this form.

Sex Addiction Treatment Informed Consent

All Individuals seeking treatment for sex addiction must read and sign this policy and bring with you to the first appointment.

EMDR Assessments & Consent Form

Please only complete EMDR forms if you are interested in EMDR Therapy.  These are not part of the New Client Forms required for your first session.