Jackson Hole Counseling

Marriage Counseling & Family Therapy

  • Home
  • Weekend Marriage Retreat
  • Services
    • INDIVIDUAL
    • COUPLES
    • FAMILY
  • Staff
    • Laura Santomauro, LMFT
    • Lindley Kunce, PPC
  • Hours & Fees
  • CONTACT JHFS
    • Staff Contact Info
  • Video Resources
  • Attachment Theory Resources
    • 4 Attachment Styles
    • Secure Attachment
    • Anxious Attachment (ambivalent)
    • Avoidant Attachment
    • Disorganized Attachment
  • FORMS
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  • Contact Us
  • Couples Weekend Retreat
  • Individual Therapy
  • Couples Therapy
  • Family Therapy

FORMS

Thank you for choosing JH Family Solutions as your counseling connection.  We look forward to working with you (and your partner).

In an effort to maximize our time together in the office, please take a moment to complete and submit the following forms PRIOR TO  your first appointment.

If you are unable to do so, forms will be provided for you at your first session and we can fill them out together.  If we do not receive your insurance information and/or are unable to check benefits prior to your first appointment, payment will be due at time of service while benefits are being checked.

IF YOU HAVE NOT BEEN CONFIRMED FOR YOUR FIRST APPOINTMENT, please do not fill out these forms, but start with a CONFIDENTIAL CONSULTATION

 

  • COUPLES INTAKE
  • INDIVIDUAL INTAKE
  • PARENT INTAKE (for child in therapy)
  • POLICY
  • BLUE CROSS/BLUE SHIELD INSURANCE

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