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).

Couples Counseling Clients

Relationship Worksheet

Additional worksheet for Couples Counseling clients

View form

Clients Interested in Hypnotherapy or EMDR

Other Forms

CAGE Questionnaire

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

View form
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.