Desiree MurrayLCSW, CAC III

New Clients

Please complete the pre-registration form by clicking on the link below. If you are a couple attending couples therapy please complete one form per person.

Pre-registration Form

Disclosure

Permission To Video

Consent To Communicate PHI Electronically

Credit Card Authorization

HIPAA Form

If you would like for me to have contact with a third party regarding your treatment please print and complete this release of information form.

Release of Information Form

My Location