Mary Ann Mattingly, MS, LPC Psychotherapy for Individuals, Couples and Groups
Schedule an AppointmentContact Me
Mary Ann Mattingly MS Licensed Professional Counselor
(907) 522-2010
wellbeing@maryannmattingly.com
HELPFUL FORMS

If you're a first-time client, please review and complete all of the following forms, and bring them to your first session.

  • Patient Information Form with Disclosure Statement
  • Limits of Confidentiality/Cancellation Policy Form
  • Client Intake Form

 

If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:

  • Consent to Release Information Form


 

Client Intake Form  
Confidentiality and Cancellation Policy  
Patient Information Form & Disclosure  

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