Parent Information


What is the process?

After an initial phone call, I set up a parent meeting. This gives us the opportunity to talk openly about your child and I take a social and developmental history. The more information I have about your child, the better I can understand their behaviors and gain insight into their emotional world. If your child is struggling at school, a school observation is recommended. Although I am flexible, I recommend a four/five session evaluation which includes feedback for the parents. The feedback session includes my observations, parent coaching, recommendations and insight into your child's world.


Recommended Evaluation: 

1) Parent Meeting

2) School Visit (if needed)

3) Family Play Therapy Session

4) Individual Play Session

5) Parent Feedback



Below is paperwork that can be printed out for you to bring to our initial meeting. I will review the paperwork and I will answer any questions you may have at that time. Feel free to email me at or call my office at 610-642-1144.



Child Intake Form:

This form is essential in maintaining the appropriate information about your child for evaluation and treatment.


Consent to Treatment:

I cannot see your child unless this form is completed. This forms explains important policies about Main Line Play Therapy. This form must be signed if your child is under 14 years of age. If you and your partner are divorced and both have legal custody, both parents need to sign this form.


Release of Information:

This form gives me permission to communicate with another provider from your child's teacher to pediatrician. This form can always be filled out after meeting to make the best plan.  I work closely with school professionals and others involved with your child. I am a believer that it "takes a village" and it is important for everyone to be on the same page.


SMS & Email Consent: 

This form is used to obtain consent to communicate with you via email or text.Transmitting client information by SMS and emails has a number of risks that clients should consider before granting consent.

Payment Authorization Form

Schedule your payment to be automatically deducted from your bank account or charged to your Visa, Master Card or American Express after each session. Just complete and sign this form to get started.


Custody/Access Dispute Contract

TESTIMONY for Divorce, Custody, and Visitation/Parental Access 

Main Line Therapy. LLC - DBA Main Line Play Therapy does NOT participate in custody hearings, custody/access disputes, visitation, or divorce proceedings.  These matters are not within our scope of practice.  Please contact a Parent Coordinator or another neutral party to assist you in this matter.  We have an excellent referral source should you need forensic mental health assistance. Please print and sign the contract if this pertains to your family situation.



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