Therapy Institute of Michigan LLC.
Therapy Institute of Michigan LLC.

Forms

Intake Forms:

 

Printable Client Registration Packet sections:

 

 

Printable DBT Client Registration Packet sections:

 

Agreement for Individual Therapy1.pdf
Adobe Acrobat document [266.5 KB]
Client Registration and Financial Form
ClientRegistrationandFinancial.pdf
Adobe Acrobat document [377.5 KB]
Health Insurance Benefits Form
Behavioralhealthinsurancebenefits.pdf
Adobe Acrobat document [363.8 KB]
Consent to Treatment Form
ConsenttoTreatment.pdf
Adobe Acrobat document [262.0 KB]

Contact Us

Therapy Institute of Michigan

One Heritage Place

Suite 220
Southgate, Michigan 48195

 

 

Email: kmcfarland@tiomllc.com

Phone: 734 672-0068 734 672-0068

 

Or use our contact form.

Kim McFarland MS, LPC, NCC, CTS, CAADC, DBTC verified by GoodTherapy.org
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