Welcome
Jan Ford Mustin, PhD
Psychotherapy
Therapy Process
Marriage Counseling
Women's Issues
Codependency Recovery
Addiction Recovery
Groups
Neuroscience
Neuropsychology
Neurotherapy
QEEG Brain Map
Neuro Videos
Health Psychology
Wellness Coaching
HeartMath
Autogenic Relaxation
Assessments
ADD & ADHD
Educational
Neuropsychological
Psychological
TCOLE
QEEG Brain Map
Resources
Testimonials
Virtual Visit
Videos
Audio
Articles
Sample QEEG
New Clients
Forms
Specials
Speaking Events
Contact
Forms
Our orientation forms are available for download. Please review and complete prior to your first visit.
Adults
Confidential Client Form
HIPPA Patient Notice Form
The Therapy Process: How it Works
Adult Life History Questionnaire
Minors
Confidential Client Form
Psychological Services for a Minor
HIPPA Patient Notice Form
The Therapy Process: How it Works
Family Systems Intervention
Parent Life History Questionnaire
Life History Questionnaire for Minors
Finances
Insurance Verification Form
Application for Alternative Financial Arrangement
Sample Super Bill