KRISTIN LEONHEART
  • Home
  • About Me
  • Offerings
    • Individual Therapy
    • Spiritual Support & Guidance
    • Somatic Therapy for Trauma
    • Awakening with Trauma
    • Recovering Oppressed Wisdom
    • Meditation-Related Difficulties
    • Consultations for Spiritual Groups & Trainings
    • Resources
    • Guided Meditations
  • Fees and Insurance
  • Forms
  • Contact

Forms


For therapy clients, please fill out and send these forms back to me by the night before our first session.
kl_intake_paperwork_2021.doc
File Size: 73 kb
File Type: doc
Download File

kl_hipaa_consent.docx
File Size: 13 kb
File Type: docx
Download File


Therapy clients, please download and read HIPAA and my Good Faith Estimate Notice.
hipaa.pdf
File Size: 76 kb
File Type: pdf
Download File

good_faith_estimate_notice.docx
File Size: 405 kb
File Type: docx
Download File


If I am in-network with your insurance plan and you plan to use your benefits, please fill out and send these forms back to me prior to our first appointment. There is no need to complete these forms if you plan to file for out-of-network benefits.
insurance_verification_form.docx
File Size: 506 kb
File Type: docx
Download File

insurance_benefit_information.docx
File Size: 14 kb
File Type: docx
Download File


For students, please fill out this intake form and send it back to me by the night before our first meeting.
kl_teaching_intake_paperwork_2021.docx
File Size: 21 kb
File Type: docx
Download File


Once our first appointment is scheduled, please let me know whether you plan to use insurance to pay for our sessions. If you are planning to pay out of pocket, I will provide you with a Good Faith Estimate of the costs of your care before our first meeting.


Picture

​The way of love is not 
a subtle argument. 

The door there 
is devastation. 

Birds make great sky-circles 
of their freedom. 
How do they learn it? 

They fall, and falling, 
they're given wings.

​~ Rumi
Proudly powered by Weebly

Kristin Leonheart, M.S., LMFT
© All rights reserved

Picture

    Contact Me

    [object Object]
Submit

Hours:
Monday 12pm-8pm
Tuesday 10am-8pm
Wednesday 11am-6pm