Art Matthews, MA LPC
Forms and Resources
New Client?
Please print and complete at least the New Client Paperwork prior to coming to your first appointment. All forms in this section are required with the exception of the Relsease of Information Form. Depending on your insurance or Employee Assistance Program, you may have to complete additional paperwork for reimbursement to occur.
New Client Intake Form - Print and complete
Print this form, complete it and bring it with you to your first appointment. You will also need a photo ID and your insurance card (if using insurance benefits)
AZ Body-Mind Counseling Intake Form.pdf
Adobe Acrobat document [205.2 KB]
Print this form, complete it and bring it with you to your first appointment. You will also need a photo ID and your insurance card (if using insurance benefits)
AZ Body-Mind Counseling Intake Form.pdf
Adobe Acrobat document [205.2 KB]
Consent for Treatment - Print and complete
Please print and complete this form before you arrive for your first appointment.
Consent for Treatment.pdf
Adobe Acrobat document [53.4 KB]
Please print and complete this form before you arrive for your first appointment.
Consent for Treatment.pdf
Adobe Acrobat document [53.4 KB]
Insurance Reimbursement Form
If you are choosing to use your insurance coverage, please print, sign and bring this form to your first session.
Insurance Reimbursement Form.pdf.pdf
Adobe Acrobat document [13.3 KB]
If you are choosing to use your insurance coverage, please print, sign and bring this form to your first session.
Insurance Reimbursement Form.pdf.pdf
Adobe Acrobat document [13.3 KB]
Client Rights - Print and keep
Please print and bring this form to your first appointment.
Client Rights.pdf
Adobe Acrobat document [82.6 KB]
Please print and bring this form to your first appointment.
Client Rights.pdf
Adobe Acrobat document [82.6 KB]
HIPAA Privacy Statement - Print and Keep
Please print this form for your records stating that you understand how your information will be used and what protections there are against unlawfully sharing your personal health records.
HIPAA.pdf.pdf
Adobe Acrobat document [30.9 KB]
Please print this form for your records stating that you understand how your information will be used and what protections there are against unlawfully sharing your personal health records.
HIPAA.pdf.pdf
Adobe Acrobat document [30.9 KB]
Release of Information (Optional)
Please complete this form and bring it to your next session ONLY if you want me to communicate with your physician, previous therapist or other individual about your care.
Release of Information.pdf
Adobe Acrobat document [54.8 KB]
Please complete this form and bring it to your next session ONLY if you want me to communicate with your physician, previous therapist or other individual about your care.
Release of Information.pdf
Adobe Acrobat document [54.8 KB]
Stress Management Exercises
Breathing Exercise for Stress & Anxiety
This breathing technique is described by author, physician and Body-Mind Medicine advocate Dr. Andrew Weil. This simple exercise is highly effective in stress and anxiety management.
Breathing for Relaxation.pdf
Adobe Acrobat document [157.2 KB]
This breathing technique is described by author, physician and Body-Mind Medicine advocate Dr. Andrew Weil. This simple exercise is highly effective in stress and anxiety management.
Breathing for Relaxation.pdf
Adobe Acrobat document [157.2 KB]
Progressive Muscle Relaxation Exercise
This slide shows how to engage in Progressive Muscle Relaxation, a great way to reduce muscle tension, get energized in the morning and unwind at the end of the day.
Progressive Muscle Relaxation.pdf
Adobe Acrobat document [140.0 KB]
This slide shows how to engage in Progressive Muscle Relaxation, a great way to reduce muscle tension, get energized in the morning and unwind at the end of the day.
Progressive Muscle Relaxation.pdf
Adobe Acrobat document [140.0 KB]
Cognitive-Behavioral Stress Management
This PowerPoint in PDF format will explain the Cognitive-Behavioral approach to managing stress. While following these suggestions can be helpful, it isn't meant to be a substitute for therapy.
Stress Busting - Public.pdf
Adobe Acrobat document [652.6 KB]
This PowerPoint in PDF format will explain the Cognitive-Behavioral approach to managing stress. While following these suggestions can be helpful, it isn't meant to be a substitute for therapy.
Stress Busting - Public.pdf
Adobe Acrobat document [652.6 KB]
CBT Forms & Exercises
Automatic Thought Record
This form is used in CBT homework to process triggers, thoughts and feelings.
Automatic+Thought+Record.pdf
Adobe Acrobat document [5.2 KB]
This form is used in CBT homework to process triggers, thoughts and feelings.
Automatic+Thought+Record.pdf
Adobe Acrobat document [5.2 KB]
David Burn's Cognitive Distortions
Cognitive distortions are problematic thoughts that cause extreme emotions. Here are some categories of distorted thinking.
Cognitive+Distortions.pdf
Adobe Acrobat document [13.9 KB]
Cognitive distortions are problematic thoughts that cause extreme emotions. Here are some categories of distorted thinking.
Cognitive+Distortions.pdf
Adobe Acrobat document [13.9 KB]
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