Couple by a Lake
Couple by a Lake

Important Forms to fax or email to Marilyn before 1st appointment - NEED 24 hr notice to cancel or reschedule appt.



Payment is expected at time of visit.
 Please tell Marilyn Spenadel, LCPC if you would like a receipt to give to your insurance company or for your records. If you're a new client, please complete the following forms and fax, (240) 622-6220, to the office or bring them to your first therapy session. Email Marilyn before they're faxed.

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

  • Authorization to Disclose Information Form

Client Psychotherapy Intake Form  
Limits of Confidentiality/Therapy Cancellation Policy  
Authorization to Disclose Information Form  

Note: To download Adobe Acrobat Reader for free, click here.

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