Skip to content

Telka Smith logoTelka · Smith Practice in Psychology

  • Home
  • Client Forms
  • Returning Clients
  • Practitioners
    • Dr. Lee C. Smith, C. Psych.
    • Dr. Marcus Feak, C. Psych.
    • Dr. Rosemary Young, C. Psych.
    • Dr. Lucia Bohorquez, C. Psych.
    • Shelley Brock, R.N., M.Psy., C.Psych.Assoc. (Temporary Register)
    • Arsalan Ahmad, Registered Psychotherapist
    • Eliza Burroughs, Registered Psychotherapist
  • Looking for a Therapist
  • This Being Human
  • Employment
  • Contact Us

Map & Directions

Member of the military meeting with a therapist

Client Forms

Below is a list of client forms:

  • COVID-19 Screening Form
  • COVID-19 Informed Consent Form
  • Intake Form
  • Consent to Treatment and Assessment
  • Personal Health Information Privacy

Note: If you can’t view these PDF documents it is likely that you don’t have Adobe Reader. You can download Adobe Reader for free by following this link:

Get Adobe Reader

Telka · Smith is a scent-free environment.
Please: no perfumes, colognes, aftershave or scented lotions.

Copyright © Telka · Smith, 2024 | Site Map

Website: Black Cap Design