Thank you for taking the time to fill out Mark Dooley’s intake paperwork.

Please download and complete the applicable forms below prior to your intial session. For teletherapy, please email or mail completed forms prior to your initial session.

For all clients, please include Disclosure, Consent, HIPPA, and WA Notice. For office visits please sign Covid-19 Attestation. Teletherapy clients please include Teletherapy Consent. Please note that minors age 13 and over must sign these forms directly. If you would like Mark Dooley to communicate with other medical providers and/or members of your family/support system, please fill out a Release of Information.

To sign disclosure and consent forms electronically: 1) export as PDF, 2) open in Adobe Acrobat Reader, 3) utilize the fountain pen icon for text/signature. You may then attach all documents in an email and send to markdooley68@yahoo.com.