Prior to your first appointment, please print, complete, and sign the following forms: Informed Consent; and Client Information Form. If you are unable to print and complete the forms prior to your initial scheduled appointment, please plan to arrive approximately 30 minutes beforehand to complete them.

Informed Consent Form

Client Information Form

The worksheets below are intended for client use. These forms have been borrowed from other experienced ACT therapists for use as homework assignments during the course of psychotherapy.

Introducing ACT

Acceptance of Thoughts and Feelings Worksheet *

Clarifying Values Worksheet **

Creative Hopelessness Worksheet **

Daily ACT Rating Form *

Exploring Self-as-Context Assignment 1 **

Life Compass *

Nonviolent Communication Model Handout

Self-as-Context: Assignment 2 **

Values and Goals Worksheet **

What Have I Given Up for Anxiety This Week? *

Used with permission by New Harbinger Publications, Inc.

*Eifert, Georg & Forsyth, John (2005). Acceptance & Commitment Therapy for Anxiety Disorders.

**Walser, Robyn & Westrup, Darrah (2007). Acceptance & Commitment Therapy for the Treatment of Post-Traumatic Stress Disorder & Trauma-Related Problems.