Individual, Couples, and Family Counseling // Online Counselor Supervision

Click above to access the secure form.  All new clients are requested to complete this form before their first appointment.

This statement will be reviewed and signed during our first session. I will make a copy of the signed form and send you home with the original.

You will need to complete this form if you desire to receive communication using regular email and/or text-messaging.

This statement outlines the security methods applied regarding records and communication.

This form will need to be signed if you consent to the release/exchange of your health information.

Click above if you need to send a file or document to Dr. Royal.  This is a secure form of file transmission (Please refer to Electronic Records Disclosure Statement for more information about security). You will need to login with a Google account in order to use this feature.