Client Forms
RALPH BUTCHER LMFT, Relationship Coach | Therapist | Workshop Presenter
New Client
Forms
When you decide to work with me, please download the client forms (below). Complete the forms and bring them to me for your first session.
For online (video chat) clients, please complete the forms and email them to me before your first session.
Individual Sessions (in person)
When you decide to work with me, please download the client forms. Complete the forms and bring them to your first session.
Couples Sessions (in person)
When you decide to work with me, please download the client forms. Complete the forms and bring them to your first session.
Online Sessions (video chat)
Click the Button from the device you will be using for our Virtual sessions. You will receive a free VSee account and we will be added to each other's address books. Please set-up your User Name/Password now so you can test the system. I will contact you at our scheduled session time.
When you decide to work with me, please download the client forms (below). Complete the forms and send them to me before your first session.
Services and Information
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Individual Help
Couples Help
Online Help
About Ralph
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Couples Seminars
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Contact
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Please be aware that if you are experiencing a life threatening emergency, or are imminently suicidal, Virtual Counseling is not appropriate for you. You should go immediately to your nearest emergency room, or call 9-1-1.

Another potential limitation of Virtual Counseling is internet connectivity. It is entirely possible that we could be at a critical point in our counseling session, and lose connection. If this happens, I will call back as soon as possible. And, again, if you are in severe crisis or imminently suicidal, you should follow the instructions above.
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