Francis Chiappa, PhD
I look forward to meeting with you. Your first session should give you some ideas about what you can expect from therapy.
For your first appointment, there are a few forms we need you to complete. You may download and print them out - adult forms OR child/teen forms - and bring the completed forms to your appointment or you may come 15 minutes early to complete them at the office.
For couple or family therapy, one person should complete the entire packet - the one whose name will be submitted in insurance billing. The spouse or partner should complete separate copies of pages 2 and 3 and co-sign pages 6 and 7.
Parents will need to sign the forms for children or teens.
If you have any questions about anything on the forms, or anything else prior to your appointment, you can call me (440-845-9011, voice mail 107) or e-mail me. Or we can discuss it during your appointment.
Click here for my resume.