Psychologist
Confidentiality
Office Guidelines
Print and fill them out to bring with you to
your first session, along with insurance
documentation, pre-authorization
number if necessary, and your drivers
license.  Thank you!
I look forward to meeting you!
Dr. Pierce-Davis
For Clients who wish to prepare for their next session:  An Inter-Session History
For Clients who are working with Dr. Pierce-Davis's Relaxation Training CD,
the
Relaxation Training Questionnaire allows for session by session, week by
week tracking of improvement in the ability to reduce muscle, mental, and
emotional tension.
If you are  a client of Dr. Pierce-Davis and wish to begin this training, please
request a CD.  If you are not a client and wish to use the CD and Training
Questionnaire, you may order the CD here, and download the tracking
questionnaire free of charge.  
For New Counseling  Clients
(Patients screening for Medical and Fertility Services, please scroll down)
Personal History Form
(Optional)
Contact Information Form for Fertility-Related Services
If you have a question
about your appointment
during inclement weather,
or need directions to Dr.
Pierce-Davis's
Home Office
click here.
These forms are for new counseling clients only.
Screening clients need the form below.
For Information regarding Fertility Related Services, click here.
New Client Information