Before we start working together, please follow the steps found on this page to download and fill out all the required forms digitally.

Step One: Download the File

Please download the form by clicking the button below.

Download Form

Please note that if you fill the form in through a browser such as Chrome, please DO NOT just click the Download button. This will download the blank form. To save all the information you filled in, please click the PRINT button and change the Destination to Save as PDF. Before you close the PDF in your browser, please view the form you saved to your computer to ensure it is filled in before emailing it to me. I recommend using Google Chrome over other browsers since they may cause issues. Thank you!

Step Two: Open and Fill the Form

You can fill the form directly through the Chrome Browser when you click on one of the buttons from Step One (above). You may also complete the form in Adobe Acrobat Reader. If you don’t have Adobe Acrobat Reader, click this link to download/install the latest version:

Adobe Acrobat

Step Three: Fill Out Forms in Chrome/Adobe Acrobat

Make sure to use “tab” to ensure that you filled out and signed all of the required parts of the paperwork. Note that if you fill out the form through the Chrome browser, you have to click on the Print button on the top right and change the Destination to Save as PDF. The form will be blank if you click on the Download button instead.

Step Four: Save and Email

After you fill and sign the forms, please save to your computer and then attach the file to an email. Please send to Marion Malcome at Once Marion Malcome, LCSW receives your forms, she will then sign the necessary forms and send back to you with both signatures. Thank you.