Simple Soul Counseling Services, Inc.

Downloads

Please download, complete, sign, and email these forms to acacia.johnson@protonmail.com using your new protonmail email account (see below download and follow the steps to download your own encrypted protonmail email). 

Consent to Treatment (doc)

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Informed Consent Electronic Communication (doc)

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Notice of Privacy Practices SSCS (doc)

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Downloads

Please click the links below and follow the steps on the website to download the protonmail software. This encrypted email softwares is required to participate in technology assisted counseling through Simple Soul Counseling Services.  Upon booking your appointment, you will receive an invite from Acacia to join/download the VSee software in your new protonmail email. VSee is an encrypted messaging/video chat software program, and is what you will use to participate in the technology assisted counseling sessions. If you are having trouble accepting and downloading VSee, the link is provided below as a second option. Once you are on the VSee website, click the " GET FREE VSEE"  button on their home page, and follow the steps to get this free messenger software. The VSee app is also available for windows, mac, andriod, or iphone devices. Once you have completed these steps, click on "add" to your friends list and invite acacia.johnson@protonmail.com Payment is due at the time the appointment is booked. There are no refunds for missed appointments, unless they are cancelled 24 hours in advance. If you would like to complete the initial intake visit paperwork prior to the first appointment, please download, print, fill out, and email the intake packet below to acacia.johnson@protonmail.com prior to your first appointment. Thank you for your cooperation in taking the time to do this. 


https://protonmail.com/


https://vsee.com/



Initial Intake Page 1 (jpeg)

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Initial Intake Page 2.jpeg (jpeg)

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Initial Intake Page 3 (jpeg)

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Initial Intake Page 4 (jpeg)

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Downloads

Feel free to take advantage of these commonly used psychometric tests. These are not required downloads. 

Beck.Anxiety.Inventory (pdf)

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Beck-Depression-Inventory-BDI (pdf)

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bipolar disorder vs. adhd, questionnaire (pdf)

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hamilton anxiety checklist (pdf)

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kutcher depression adolescent scale (pdf)

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mdq mood disorder questionnaire (pdf)

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Sexuality Questionnaire (pdf)

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standard-child-behavior-checklist (pdf)

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teenChildBipolarQuestionnaireForm (pdf)

Download