New Client & Patient Forms
New Client/Patient Forms:
Welcome to Dialogical Therapy, Fletcher B. Taylor’s & Alita Kathryn Taylor’s group psychiatry/psychotherapy practice. We look forward to serving you.
Before commencing treatment with us, it is essential that we obtain your written consent for treatment. You have options for this. For your convenience, either:
Email email@example.com (secure/HIPPA-compliant, end-to-end encrypted) and request electronic intake form(s.) We will then email you each form which you can e-sign. We will receive each one after you click “Submit” at the bottom of each form. *If you are wanting us to submit claims to your health insurance company, please don’t forget to email firstname.lastname@example.org the front and back of your health insurance card(s.)*
Download (see links below,) print, complete, sign, and send completed forms to us via FAX (253-212-3225) or via email email@example.com (secure, HIPPA-compliant, end-to-end encrypted.) *If you are wanting us to submit claims to your health insurance company, please don’t forget to FAX (253-212-3225 or email firstname.lastname@example.org the front and back of your health insurance card(s.)*
Arrive 15+ minutes prior to your scheduled appointment time. Forms will be provided to you to complete. *If you are wanting us to submit claims to your insurance company, please don’t forget to bring your health insurance card(s.)* (*Note: This option does not apply for first-time Telemedicine appointments.)
If you have any questions please call us at 253-212-3101. We want to make your experience seeing us as smooth and as comfortable for you as possible.
Dr. Fletcher B. Taylor and Alita Taylor, MA, LMFT
“If each one of us can give full attention to what is actually ‘blocking’ communication while he is also attending properly to the content of what is communicated, then we may be able to create something new between us, something of very great significance for bringing to an end the at present insoluble problems of the individual and of society.”
― David Bohm
Support During COVID-19
Our loved ones are quarantined from their beloved, even nearing the end of their lives. With recent COVID-19 events, the conversations needed nearing end-of-life often aren’t happening. I am a trained dialogical family therapist with specialized end-of-life doula/midwifery training. Most nurses and physicians are overloaded these days with the requirements caring for this pandemic. I am available to provide a space for you and your family/friends/loved ones via video conference, and I am offering training modules for practitioners to learn what is necessary to provide an open therapeutic space for patients and their social networks to gather online to say what they need to say to one another, in their own time.
For inquries please contact: email@example.com.