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    6450 W. Willow Way #A | Florence, AZ 85132
    kathy@drkathymccoylmft.com | (520) 233-3402

  • Kathy McCoy

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    • Services Provided
      • Counseling for Anxiety
      • Counseling for Trauma
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      • LGBTQIA+ Individual or Couples Therapy
      • Therapy for Depression
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    Client Forms

    If you’re a new client, please be sure to print out and complete the following forms and bring them to your first session. This will allow us as much time as possible to focus on you during our first session. New Teletherapy clients can either scan their completed forms and send these to me as email attachments or we can go over the material during an extended first session. (Forms that can be completed and submitted completely online will be available soon.)

    Client Intake Form

    Information Sheet

    Limits of Confidentiality

    If you would like me to consult with another of your health providers, such as your primary physician or a psychiatrist who is prescribing your medications, I can do this only if you fill out the following form, giving us permission to discuss your case with each other.

    Authorization for Release of Information

    Contact Today



    6450 W. Willow Way #A Florence, AZ 85132

    (520) 233-3402 kathy@drkathymccoylmft.com

    Contact Today

    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.

    Kathy McCoy, Ph.D., LMFT
    kathy@drkathymccoylmft.com | (520) 233-3402

    A Website by Brighter Vision | Privacy Policy

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