Ker Cleary, Clearheart Counseling
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Counseling Intake Forms

You can print (7 pages, but don't let that scare you) and fill out these forms prior to our meeting if you'd like, or I will supply copies when we meet. I suggest you print a copy for your records. I need a completed copy of the Permission to Treat, Client Information and Credit Card Authorization. We will go over them in our first session.
New Client Paperwork Forms (download)

Download Past Newsletters from Ker Cleary:

Doorknob Gazette Fall 2010.pdf
(give yourself a break)

Doorknob Gazette Spring 2010.pdf
(seeing pain clearly)

Doorknob Gazette Winter 2009.pdf
(don't believe everything you think)

Doorknob Gazette Fall 2009.pdf
(working with perfectionism)

Doorknob Gazette Summer 2009.pdf
(opening to painful feelings)

Doorknob Gazette Spring 2009.pdf
(three poisons/habitual responses)

Doorknob Gazette Winter 2008.pdf
(replacing stress reactions with lovingkindness/maitri)

Doorknob Gazette Fall 2008.pdf
(four immeasurables)

Doorknob Gazette Summer 2008.pdf
(dealing with change/transitions)

Doorknob Gazette Spring 2008.pdf
(our minds as gardens)

Doorknob Gazette Winter 2007.pdf
(how to be friendly to yourself)

Doorknob Gazette Fall 2007.pdf
(acceptance/all-accomodating spaciousness/buddha buddha family)

Doorknob Gazette Summer 2007.pdf
(mindfulness-awareness/padma buddha family)

Doorknob Gazette Spring 2007.pdf
(metta meditation/karma buddha family)

Doorknob Gazette Winter 2006.pdf
(anger/vajra buddha family/nautilus logo)

Doorknob Gazette Fall 2006.pdf
(equanimity/ratna buddha family)

 

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© Ker Cleary, M.A
• Phone: 541.349.0595