Mid Valley Counseling Center, Inc.

Keith Swanson, Psy.D. PC

Keith Swanson, Psy.D. PC

- D Street Office -


Forms

Consent to use or disclose information for Treatment
Authorization for Release of Protected Health Information
Provider Policy on Insurance and Billing Practices
Alternative Contact Information
Notice of Privacy Practices
Contract for Therapy with Minor
Alternative Contact Information
Client Questionnaire
Child History Form
Intake Form
Intake Letter
Informed Consent

I have been in practice since 1994. Populations primarily served in my practice are children ages 4-12, adult individual psychotherapy and marital issues. Areas of specialization include children's disorders, panic disorder and addressing psychological issues based upon a Christian world view. It is my commitment to conduct my relationship with the client according to the highest ethical and professional guidelines. I see myself as a provider of services that you are acquiring. My objective is to see the goals which brought you to counseling significantly improved, if not resolved. While these results cannot be guaranteed, it is anticipated that our working together as a team will result in such an end. Above all, I care about my clients as people. I pray for my clients every day and am personally concerned with their success and well being.