• Contact Me

    Schedule a 15 Minute Free Consultation

    10091 Streeter Road, Suite 5 | Auburn, CA 95602
    Phone: 530-268-3558 Fax: 530-268-8156
    kate@katepieperlmft.com

    • Home
    • About Kate
    • Counseling Services
      • Trauma
      • Couples
      • First Responders
    • Getting Started
      • Counseling FAQ’s
      • Appointment Request
      • Client Forms
      • Fees
    • Blog
      • Couples
      • Trauma
      • Soul Care
      • Grief
    • Speaking
    • EMDR Consultation

    Client Forms

    The following forms are here to help you get started. Please download and look them over, so that your first appointment will be productive.

    • Authorization to Exchange Information
    • Authorization to Release Confidential Information
    • Minor Intake Form
    • Couples intake
    • Individual Intake
    • NOTICE OF PRIVACY PRACTICES
    Kate Pieper, LMFT

    Address:
    10091 Streeter Road, Suite 5
    Auburn, CA 95602

    530-268-3558
    kate@katepieperlmft.com

    Newsletter Signup

    Click Here

    • Facebook
    • Twitter

    Contact Me

      By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.
  • Kate Pieper, LMFT © 2015 |   530-268-3558

    A Website by Brighter Vision