Lake Monona Psychotherapy and Recovery Center (LMPRC )

Integrative Psychotherapy and Wellness

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  • Home
  • About LMPRC
    • First Visit Paperwork
    • Testimonials: Why Choose LMPRC?
    • Find Us
  • Integrative Mental Health & Addiction Services
    • Addictions Counseling
    • Alcohol and Drug Counseling
    • Family Counseling
    • Couples Counseling
  • Our Staff
    • Sally Stevens, LCSW, SAC, Executive Director
    • Bridget Cremin, LCSW, SAC
    • Beverly Hills, RN, LPC, SAC
    • Dr. Ellanora Ward, Psychologist
    • Kim Jaeger, LCSW, SAC
    • Dan Di Cerbo, LCSW
    • Heidi Stringer, LCSW
    • D. Eric Strong, LCSW, SAC
  • Other Resources
  • Contact Us
Lake Monona Psychotherapy and Recovery Center (LMPRC )

First Visit Paperwork

So we can spend more time getting to know you during our initial visit, please consider completing these forms and bringing them to your first appointment.

If you are unsure about any of the forms or have questions about the requested information, please let us know!

Intake Form

Personal History Questionnaire

Informed Consent for Treatment

Fee Agreement Form

Statement of Patient and Health Information Rights

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Copyright © 2014-2019 Lake Monona Psychotherapy & Recover Center
6400 Gisholt Drive. Suite 100 · Madison WI 53713 · The United States608-256-5030
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