Intake Forms
Please complete the following forms. After I have received your forms, I will contact you to schedule our first session. If you have any questions as you are completing the forms or about the process, please text or call me.
Our Agreement
I agree to engage in personal work with Jennifer Sabatier, and I can discontinue at any time. If at any point, you need to stop the work please honor that moment in a conversation with me. Even if it is just a feeling or concern, it is part of the work, and our relationship can hold the discussion and outcome.
I understand that if I cancel an appointment for a non-emergency reason with less than 24 hours notice, Jennifer reserves the right to charge me for the cost of the session.
I understand that this personal work around grief and loss is not therapy. If at any time I become aware that I require support from a licensed professional, I will let Jennifer know immediately, and she will offer referrals.
I understand that the nature of personal work may delve into deeply emotional material.
I understand that confidentiality is honored, and no personal information or details of what
occurs in sessions will be shared with others.
If any issues arise that fall outside the scope of Jennifer’s ability or skill, she will offer
professional referrals.
I agree to pay materials fees if applicable (books/youth session materials/art supplies).
I agree to pay a fee of $100 per session/hour (unless otherwise negotiated). Youth session
fees vary based on age/time.
I agree to keep an active debit/credit card on file to be charged following my sessions or for a missed appointment. I understand I can pay by cash or check as an alternative at the end of my session.
I agree to the following Copyright Agreement
I understand that ALL materials in the Rite of Passage transformative process are copy-written materials. I understand that these materials are for my personal development ONLY, and:
I may NOT utilize the materials for professional use;
I may NOT alter or modify the modules without written permission;
I may NOT distribute the password or modules to anyone else for profit or otherwise.