Please click the links below to access Danielle Jacobs LMHC’s Client Forms.

NOTE: These forms are password-protected, as they are meant only for use by Danielle Jacobs’ clients (she will provide the password as needed).

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Couples Counseling Clients

Relationship Worksheet

Additional worksheet for Couples Counseling clients

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Other Forms

CAGE Questionnaire

The CAGE Questionnaire Adapted to Include Drugs (CAGE-AID)

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Contact Me

Contact me about my services and publications, or fill out the pre-screening form and I will contact you ASAP for a free phone consultation.