Lake Psychological Services LLC
Referral or New Patient
New Client Packet
Virginia Cooper, Ph.D.
Ashley Harbin, Ph.D.
Debra Huss, Ph.D.
Elizabeth Jeffords, MD
Christopher Jones, Psy.D.
Kate Kleinfelter, Ph.D.
Karen Lake, Ph.D.
Sandra McCloy, Ph.D.
Kristen Menke, Ph.D.
deRosset Myers, Ph.D.
Erin Puro, Ph.D
Jeanette Spence, APRN
Bill Sullivan, Ph.D.
Monica Wright, Psy.D.
Please refer to the link below to read our policies and practices to protect the privacy of your health information.
New clients who are scheduled for an appointment with our office, click on one of the two links below for a copy of our NEW CLIENT packet.
If you do not have the ability to print this form we will have copies of it at the front desk on your arrival. Be sure to arrive at least 10 minutes early if you will need to fill it out.
*** New Patient Packet for Dr. Jeffords ***
New Patient Packet - Dr. Jeffords
*** New Client Packet for all other clinicians ***
Client Intake Packet
Client Agreement and Intake Information
Lake Psychological HIPAA Policy
Policies and Practices to Protect the Privacy of Your Health Information