Mary Ann Mattingly, MS, LPC
Psychotherapy for Individuals, Couples and Groups
Contact Us Schedule an Appointment
 
 
 
 
 
 
 
 
 
 
 
 
 
Mary Ann Mattingly
(907) 522-2010
wellbeing@maryannmattingly.com
 

 
Helpful Forms

If you're a first-time client, please review and complete the following forms, 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

 




Patient Information Form Patient Information Form


Note: To download Adobe Acrobat Reader for free, click here.

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