© Sarah Klockars-Clauser (CC BY-SA 3.0)

© Sarah Klockars-Clauser (CC BY-SA 3.0)

please review the following documents to get a better sense of what to expect in working with dr. Coté, including your rights and responsibilities as a client.


HIPAA Privacy Notice and service agreement

Notice of Privacy Practices (Read/Keep)

  • The Notice of Privacy Practices describes your privacy rights and my responsibility as a psychologist to safeguard your Protected Health Information (PHI). The document also clarifies issues related to confidentiality. This notice is for you to review and keep.

SERVICE AGREEMENT (READ/KEEP)

  • If pursuing individual mental health services, this Service Agreement describes my office policies, counseling expectations, risks and benefits of individual mental health services, and other very important information. This document serves as the agreement between you and me concerning the therapeutic process. The information gives you a good idea of what to expect when choosing to work with me. During the first meeting, we will review and sign.

Adult Individual Therapy Forms (Ages 18+)

General Client Information

  • This form contains information that I need to be able to contact you. The form also includes information about your personal background that helps me to begin the process of getting to know you. 

client concerns form 

  • This form contains questions related to how you are doing. The answers to these questions help me better understand your current challenges, strengths, and also your important history.