Forms

The following forms are required for all new clients in our office.

ACCOUNT INFORMATION.pdf
Adobe Acrobat document [175.2 KB]
Adult Intake Form-New client.pdf
Adobe Acrobat document [431.6 KB]
Child Intake.pdf
Adobe Acrobat document [312.9 KB]
Client Agreement and Therapeutic Policie[...]
Adobe Acrobat document [304.5 KB]
CONSENT FOR TREATMENT OF A MINOR CHILD.p[...]
Adobe Acrobat document [366.2 KB]
Release of Private Health Information.pd[...]
Adobe Acrobat document [177.7 KB]

Contact Us

Address

Successful Therapy
275 West 200 North

Suite 203
Lindon, UT  84042

 

Phone: 801 787 7735

 

Email:

successfultherapy@gmail.com

 

Or use our contact form.

Latest News

Please join us in welcoming a new therapist to our office: Kimberly Friess.  We will be able to offer our clients even more options for appointments including Saturdays.  Welcome to Successful Therapy Kim, we are so excited to have you join our wonderful team of therapists!

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