Abide in the Vine Counseling Center
Abide in the Vine Counseling Center

What to Expect on the First Visit

Symptom Checklist

The Initial Assessment (or first visit) is an opportunity for me to get to know you and for you to get to know me. During this time I will ask many questions in order to understand you and your particular situation better. Based on the information given I will be able to assess if I am good fit for you - and you will be able to assess if I am a good fit for you.


The session is usually an hour to an hour and a half long. This provides enough time for me to learn more about you and how I can help.


Basic Information
Name, Address, Medications
Client Info.rtf
Text document [45.9 KB]
Informed Consent
Basic information about counseling services and consent for treatment.
Informed Consent2.docx
Microsoft Word document [18.9 KB]
Family / Couples Consent for Treatment
If you are seeking services as a family or couple, please fill this consent form out also.
Microsoft Word document [35.0 KB]
Adolescent Informed Consent
If you are seeking help for your teen, please print this consent form out also.
Adolescent Informed Consent Form.doc
Microsoft Word document [34.0 KB]
Notice of Privacy Practices (HIPAA)
Basic information about what I do with the information that I gather.
Notice of Privacy Practices HIPAA.docx
Microsoft Word document [18.4 KB]
HIPAA consent
Permission to use your health care information as necessary.
Microsoft Word document [29.5 KB]
Communication Consent
Consent for us to use electronic means for communication.
Communication Consent.docx
Microsoft Word document [13.4 KB]
Telemental Health Consent
Consent for us to meet in a secure online platform via video in lieu of a face-to-face session in my office.
Telehealth Consent.docx
Microsoft Word document [13.5 KB]
Current Symptoms - p.1
Please check which symptoms are currently an issue.
Current Sx pg 1 001.jpg
JPG image [891.4 KB]
Current Symptons - p.2
Checklist continued.
Current Sx pg 2 001.jpg
JPG image [704.7 KB]

Contact Us

Mary Reeves, LMFT

Abide in the Vine Counseling Center


1277 Taylor Rd
Owego, NY 13827


Located inside the Washington Gladden Building


You can reach us at:

(607) 744-1100


Rather send an e-mail?




You can also fill out our contact information form.

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