Private Counseling Forms 2018-02-20T01:22:23+00:00

Private Counseling Forms

Documents to guide our personal work together.

Private Counseling Forms

Please print, complete and bring to our first session.

  • Informed Consent Form – An important document that summarizes our understanding about confidentiality, scheduling, and so on.

  • HIPAA Privacy Notice – This document describes how medical information about you may be used and disclosed per the Health Insurance Portability an Accountability Act.

  • Client Info Form – Please complete this basic information form before you come see me for an appointment.

  • Initial Summary – Please complete this summary about your intentions around counseling before your first appointment and we will review it together.

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Praise for Wit

Last year I made a serious effort to improve employee retention because it is key to my business success.  My employees are my best asset and I wanted to improve loyalty and morale.  I hired Tori and her team of WIT professionals as a “wellness” benefit for my employees and I have been astounded at how much it has helped.  I thought I was hiring Tori to help my employees, but as the business owner, Tori provides me a level of support that is unmatched by any HR professional or counselor.  She is my first call when I need advice and wise counsel regarding all of my business relationships.

Kathy Franklin, Owner, European Wax Center - Castro Valley, CA

As a trusted licensed marriage and family therapist for 25+ years, Tori has journeyed relationship challenges with executives, non-profit and church leaders, their families and friends.  Her expertise provides a focused approach that efficiently penetrates the mind and holds the heart. Her compassion for each situation is palatable. Her devotion to each company is impressive. The results are effective.

Tom Dowd - Owner, Dowd and Guild - San Ramon, CA

Tori has a knack for bringing clarity to core issues in communication and relationships in tension and then providing concrete steps forward. Her professional coaching has been instrumental in helping me navigate delicate client negotiations with integrity. I highly recommend her as a go-to advisor and coach on all things relational.

Kristi Rinehart - Principal, Rinehart Marketing - Coeur d'Alene, ID

WIT Professionals is an amazing team of professionals that helps your business improve the culture, productivity, and well-being of your workforce. Tori helps engage healthy strategies with the burdensome challenges we all face in work and life relationships. Tori is truly gifted at assisting leaders and employees with understanding their own internal and relational barriers. I cannot speak highly enough of Tori Dabasinskas.

Jeff Hunt, Founder & CEO, GOALSpan - San Francisco, CA

Our company has used Tori to assist with communication, provide clarity and new perspectives to our employees through group training sessions on Stress Management.  She has also been instrumental in supporting our management team.  Tori is an active listener, who asks deepening questions throughout the process.  This approach allows both parties a deeper understanding of the issue and helps the individual reach a solution with greater confidence.  By doing so, we are more comfortable dealing with difficult situations. 

Tina Onderbeke - Executive VP & Partner, Dowd and Guild - San Ramon, CA

Tori has a relational style that instantly creates an atmosphere of openness and mutual respect.  She has a keen ability to empower, affirm and show compassion to everyone.  She sees all sides to an issue and helps resolve communication challenges swiftly.  Her sense of humor and overflowing joy always lifts our spirits and her wisdom and giftedness has saved me hours and hours of stress. 

Kathy Franklin, Owner, European Wax Center - Castro Valley, CA

Rather than letting frustrations build and damage workplace relationships, Tori has helped us meet communication challenges by diffusing them through understanding.  Tori is a true professional who is able to put people immediately at ease and engage in meaningful conversation, which ultimately leads to better decision making and solutions.

Tina Onderbeke - Executive VP & Partner, Dowd and Guild - San Ramon, CA
Valley Dental Group - Dr. Kane, Dr. Chan, Dr. St. Marie

We really loved having Tori and Mary-Beth speak to our company. It was one of the most professional and personally beneficial staff meetings we have had to date. We loved having their perspective on personalities and inter office relationships and really striving to know ourselves better so that we can interact better as a team. They are a wonderful asset to our company!

Dr. Kane, Dr. Chan and Dr. St. Marie, Valley Dental Group - Renton, WA