Helpful Forms

Helpful Forms

If you're a new client, please complete the following forms and bring them to your first session.

Client Intake Form
Limits of Confidentiality/Cancellation Policy Form

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form:

Consent to Release Information Form

Client Intake Form
Confidentiality and Cancellation Policy
Disclosure Authorization

Note: To download Adobe Acrobat Reader for free, click here.

We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.

Your Name:

Your Phone Number:

Your Email Address:

Your Message:

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By clicking send you agree that the phone number you provided may be used to contact you (including autodialed or pre-recorded calls). Consent is not a condition of purchase.

Asheville Integrative Counseling and Therapies

Syd Speer, MA LCMHC

Effective Professional Counseling for Individuals, Couples, and Families

Asheville, NC Therapist

Syd Speer, LCMHC

Asheville Integrative Counseling and Therapies Syd Speer, MA LCMHC

Effective Professional Counseling for Individuals, Couples, and Families

Helpful Forms

Asheville, NC Therapist

Syd Speer, LCMHC

Asheville Integrative Counseling and Therapies

Syd Speer, MA LCMHC