Forms | A Talk with John

Please review the New Client Forms below; complete the Information/Acknowledgement/Consent provided below prior to your first therapy session so time will not be spent filling out forms during your appointment.

**Accepting Most Major Insurance

*Attention Clients: Once you've set up an appointment, please check your email for a

Therapy Notes Client Portal access message where you will be able to create a login.*

New Credit Card on File Policy Effective as of January 24, 2022

Client Portal

*Patient Waiting List:
(If an appointment is unavailable and you would like to be added to the waiting list)

Add

Client Information/Acknowledgement/ Consent

*Patient Waiting List:
(If an appointment is unavailable and you would like to be added to the waiting list)

Contact Me

A Talk with John Counseling and Consulting, PLLC

Therapy for Individuals, Couples and Families

Charlotte, North Carolina

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Client Information/Acknowledgement/ Consent

*Patient Waiting List: (If an appointment is unavailable and you would like to be added to the waiting list)

A Talk with John Counseling and Consulting, PLLC

Therapy for Individuals, Couples and Families

Charlotte, North Carolina

*Patient Waiting List:
(If an appointment is unavailable and you would like to be added to the waiting list)