479-459-7193 | llaney@counselingroots.com

Roots & Reflections Counseling and Therapy

  • Roots & Reflections Counseling and Therapy
  • Home
  • About Me
  • Services
    • Play Therapy
  • Getting Started
    • Client Forms
    • FAQs
    • Rates & Insurance
    • Appointment Request
  • Resources
    • Mental Health Links
    • Physical Health Links
  • Blog
  • Contact

Client Forms

If you are new to therapy or counseling, please be sure to fill out the following forms, and bring them to your first session. This will help ease you into therapy and allow as much time as possible to focus on you.

Client Intake

Client Information

Authorization for Release of Information

Limits of Confidentiality

 

Contact Today

Lisa Laney
MS, LPC, LMFT, RPT



479-459-7193
llaney@counselingroots.com

5111 Rogers Ave Suite 557
Fort Smith, AR 72903

Contact

Send A Message

Office Hours

Office Hours are Available by Request
Request Appointment
  • Facebook

Find My Office

Contact Information

5111 Rogers Ave Suite 557
Fort Smith, AR 72903

479-459-7193
llaney@counselingroots.com

A Therapist Website by Brighter Vision | Privacy Policy