Rebecca A. Jones, Ph.D.

If you have already talked with Dr. Jones on the telephone and scheduled a first appointment, please print the form below, fill it out and bring it to your first appointment. Or you may choose to arrive 15 minutes early to complete a client information form in the waiting room.

Please click here to download the Client Intake/Information Form. This form must be printed to be completed. It cannot be completed online.

If you have been under the care of a psychiatrist, a physician, or another therapist, it may be helpful for Dr. Jones to talk with this individual about your previous treatment.  Click here to download a "Release of Information Form" if you wish for Dr. Jones to consult with him or her. By signing and submitting this form, you give the treatment provider permission to talk with Dr. Jones about your previous work together.

The Client-therapist Agreement Form summarizes the "ins- and-outs" of psychotherapy. This form answers many common questions about how psychotherapy works, including techniques used in therapy, rules/agreements regarding payment of fees, appointment scheduling and cancellation, etc.

Please click here to download the client-therapist agreement form.