Therapist Information

Name: Clayton Norman

License Number: Colorado # LPCC.0021124

Contact Information: 970 805 0570/ Clayton@Coloradocreativetherapies.com

Purpose of Therapy

The purpose of therapy is to provide support, guidance, and intervention to help you address personal concerns and mental health issues. Therapy may involve exploring your thoughts, feelings, and behaviors, and working collaboratively to develop strategies for improvement.

Types of Therapy Provided:

Individual Therapy

Family Therapy

Skate Therapy

Nature-Based Therapy

Goals of Therapy:

To improve mental health and well-being.

To develop coping strategies.

To achieve personal goals and growth.

Confidentiality

General Confidentiality:

Your privacy is a priority. All information shared during therapy sessions is kept confidential and will not be disclosed without your written consent, except in cases of imminent harm, abuse, or as required by law.

Confidentiality in Public Areas:

For therapy sessions held in public areas, such as Skate Therapy or Nature-Based Therapy, confidentiality cannot be fully guaranteed. While every effort will be made to protect your privacy, conversations and activities in public spaces may be overheard or observed by others.

Limits of Confidentiality

Confidentiality may be breached in the following circumstances:

Imminent Risk of Harm: If you are at risk of harming yourself or others.

Child or Elder Abuse: If there is suspected abuse or neglect of a child or elderly person.

Legal Requirements: If a court of law subpoenas records or if there is a legal mandate to disclose information.

Consultation: Information may be shared with other professionals involved in your care for collaborative purposes, with your consent.

Voluntary Participation

Participation in therapy is voluntary. You have the right to withdraw from therapy at any time. If you decide to discontinue therapy, it is recommended to discuss this decision with your therapist to ensure a proper transition and address any remaining concerns.

Risks and Benefits

Potential Benefits: Improved emotional well-being, enhanced coping skills, better self-understanding, and achievement of personal goals.

Potential Risks: Emotional discomfort, temporary increase in distress, and possible changes in personal relationships.

Fees and Payment

Fees: Fees are due on the day of service through Venmo@Clayton-Norman or via credit card. By signing this form you consent to an additional 5% added to credit card payments as a processing fee.

Insurance: Colorado Creative Therapies is out of network with insurance at this time. If you have health insurance that covers behavioral health you are welcome to request a superbill that may be provided to your insurance company for potential reimbursement. 

Emergency Contact:

In case of an emergency, please contact 911

Consent

By signing this form, you acknowledge that you have read and understood the information provided. You consent to participate in therapy and agree to the terms outlined above.