Elizabeth Kane, MA
Marriage & Family Therapist-I
Life Coach
Forms to Print Prior to
Your Appointment
Limits of Confidentiality
(Adult Form)
Limits of Confidentiality (Under 18 yrs)
Informed Consent
All of the world is full of
suffering. It is also full of
overcoming.

-Helen Keller
Release Form
Intake Form
You may utilize Pay Pal to pay for
sessions, groups, or workshops via
debit or credit card.  Payment is due in
full at the time of your session.