Forms | P&C Wellness Center

All the forms below can be electronically signed and sent back to mkrtherapiesct@gmail.com.

Signing forms electronically is different on every device. For a newish Droid phone, you can simply click on the form PDF icon and then click on the little marker button fill in areas needed to be filled in. For an Apple phone, Apple desktop, Apple MacBook, or an iPad the simplest way, after clicking on the PDF icon of your choice, may be to share the file to "Books" viewer, then sign the documents.

Once the forms are signed email them back to mkrtherapiesct@gmail.com

If you have any question email mkrtherapistct@gmail.com or reach out on FaceBook messenger

New Client Form

Informed consent to child psychotherapy form

Mandated Reporter Form

Email consent form

Zoom meeting informed

consent form

In-home child psychotherapy

liability waiver

Getting Started Child Therapy Forms

The Break Space Forms

This form only needs to be filled out once for access to all the "Break Space" events.

Liability Waiver

Getting Started Parent Coaching Forms

For Parent coaching, Enlightened Parent Series or the Breathing Room

New Client Form

Parent Coaching informed consent form

Mandated Reporter Form

Zoom meeting informed

consent form

Yoga and Mindfulness Forms

Liability Waiver