FORMS

New Client Forms

Please read and complete these New Client forms and bring them with you to your first visit. You’ll need to print all 5 pages of the Client Intake Form. For the next two forms — Professional Disclosure and HIPAA Privacy Form — you need to print out and sign only the signature (last) page of each form. If you don’t have access to a printer, I will provide the forms at my office — but in that case, you should plan to arrive 20 minutes before your appointment, so you’ll have time to complete your paperwork in the waiting room. NOTE: If you are starting as a new client and your first appointment will be a telehealth session, you also need to carefully read the last form, Telehealth Informed Consent. As with the previous two forms, you need to print out and sign only the last page of this document. 

UPCOMING EVENTS

 

Workshops

MINDFULNESS AND NATURE: A MEDITATIVE WALK IN THE WOODS                                                      Date TBA, pending COVID-19

 

Silent Hikes

Saturday, March 20, 2021                                            Devils Fork State Park, Oconee County

Saturday, June 19, 2021                                                    Keowee-Toxaway State Park, Pickens County

Saturday, September 25, 2021                                        Issaqueena Lake Recreation Area, Pickens County

Saturday, December 18, 2021                                          Station Cove Falls Trail, Oconee County

Send a Message to Jeanne

OTHER WAYS TO REACH ME

Jeanne Malmgren, M.Ed., LPC, NCC, CCTP
PHONE: (864) 784-1077
FAX: (888) 935-2927
E-MAIL: malmgrenjeanne@gmail.com

OFFICE LOCATION:
206 W. North 1st Street
Seneca, SC 29678

MAILING ADDRESS:
P.O. Box 49
Sunset, SC 29685