nataliesenralpcc@nataliesenra.com | (216) 392-5312
  • Behance
  • Facebook
  • Instagram
  • Pinterest
Make an Appointment: nataliesenralpcc@nataliesenra.com | (216) 392-5312
  • Home
  • About
  • Services
    • Individual Therapy
    • Couples Counseling
    • Families
    • Telehealth
  • Rates
    • Insurance
    • Private Pay
    • What if we’re out of network?
    • Pay My Bill
  • Getting Started
    • FAQs
    • Helpful Forms
    • Appointment Request
    • Cancellation Policy
  • Resources
    • Links & Resources
    • Hot Topics!
  • Contact
  • Blog
logo

(216) 392-5312 | nataliesenralpcc@nataliesenra.com

(HIPAA secure email)

  • LinkedIn
  • Twitter
Close menu
  • Home
  • About
  • Services
    • Individual Therapy
    • Couples Counseling
    • Families
    • Telehealth
  • Rates
    • Insurance
    • Private Pay
    • What if we’re out of network?
    • Pay My Bill
  • Getting Started
    • FAQs
    • Helpful Forms
    • Appointment Request
    • Cancellation Policy
  • Resources
    • Links & Resources
    • Hot Topics!
  • Contact
  • Blog
  • LinkedIn
  • Twitter
(216) 392-5312

nataliesenralpcc@nataliesenra.com

Helpful Forms

If you’re a new client, please complete the following forms and bring them to your first therapy session.

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality
  • Confidentiality And 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

Contact Today


8500 Station Street, Suite 300J
Mentor, OH 44060

6181 Mayfield Rd. #303
Mayfield Heights, OH 44124

(216) 392-5312
nataliesenralpcc@nataliesenra.com
(HIPAA secure email)

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.

(216) 392-5312
nataliesenralpcc@nataliesenra.com
(HIPAA secure email)

Mentor, Ohio Therapist

8500 Station Street, Suite 300J
Mentor, OH 44060

Mayfield, Ohio Therapist

6181 Mayfield Rd. #303
Mayfield Heights, OH 44124

Privacy Policy

A Therapist Website by Brighter Vision