Rebecca A. Jones, Ph.D.             Licensed Psychologist

If you have already talked wiht me and scheduled a first appointment,I will email you all required forms. You may download the attached intake form if you would like to get started.

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 me to talk with this individual about your treatment.  Click here to download a "Release of Information Form"  By signing and submitting this form, you give the treatment provider permission to talk with me.

Before our first meeting, You will be asked to complete the following forms (I will email these forms to you. Or you may download the intake form from the link on this page) 

• Client Consent to Treatment (signature required)
• Telepsychology Informed Consent form (signature required)
• Client Intake Form (please complete this form and sign)