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My Story

Greetings ! I am a Licensed Professional Counselor (LPC) based in Arizona. I received my Master of Arts in Counseling from Ottawa University and have been practicing for 10 years. I majored in the treatment of  Trauma, Abuse, and Deprivation  to facilitate adults  challenged with  post- traumatic stress, anxiety , and depression by  teaching them coping skills  and healthy alternative approaches  to self-defeating behaviors to help improve their quality of life. Over the past 10 years as a professional counselor, I have honed several key strengths that have become integral to my practice. My empathy allows me to genuinely understand and connect with clients, creating a safe space where they feel heard and supported. Through active listening, I am able to attentively capture both verbal and non-verbal cues, ensuring that clients feel truly understood. My expertise in motivational interviewing enables me to engage clients in meaningful conversations that facilitate change by empowering them to discover their own motivations and solutions. Additionally, my commitment to positive self-regard ensures that I approach each client with unconditional respect and acceptance, fostering a trusting therapeutic relationship where clients can explore their thoughts and feelings without judgment. These strengths collectively enhance my ability to support clients on their journey toward healing and personal growth.

Contact

I'm always looking for new and exciting opportunities. Let's connect.

928-275-7277

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Arizona, USA

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📝 Informed Consent for Counseling Services

Provider: Roy D. Chukwuemeka, LPC
Practice Name: Zoe Integrated Wellness, PLLC
Contact: : zoewellness07@gmail.com

Phone: 928-275-7277
Effective Date:  October 8, 2025

📘 Purpose of Counseling

Counseling is a collaborative process where you and your therapist work together to explore concerns, develop coping strategies, and promote emotional wellness. Sessions may include discussion of personal history, emotions, relationships, and goals.

🧠 Nature of Services

  • Services are provided by a Licensed Professional Counselor.

  • Modalities may include cognitive-behavioral therapy, trauma-informed care, narrative therapy, and other evidence-based approaches.

  • Sessions may be conducted in-person or via HIPAA-compliant telehealth platforms.

🔐 Confidentiality

Your privacy is protected under HIPAA and state law. Information shared in sessions is confidential except in cases involving:

  • Risk of harm to self or others

  • Suspected abuse or neglect of minors, elders, or vulnerable adults

  • Court orders or legal mandates

⏳ Duration & Frequency

Sessions typically last 45–60 minutes. Frequency is determined collaboratively based on your needs and goals.

🧾 Fees & Cancellation

  • Session fees:

  • Initial Consultation $100

  • ​Anxiety/Depression $ 110

  • Trauma $120

  • Cancellation  50% of session fee 

  • Cancellations require 24 hour notice to avoid charges.

✅ Consent

By signing below, you acknowledge that you understand the nature of counseling, its risks and benefits, and your rights as a client. You consent to participate voluntarily and may withdraw at any time.

Client Name: _______________________________________
Signature: __________________________________________
Date: _________________

 

 

Client Intake Questionnaire

Please complete this form prior to your first session. Your responses help tailor therapy to your unique needs.

👤 Personal Information

  • Full Name: ______________________________________

  • Date of Birth: _______________ Age: ______

  • Phone Number: ___________________

  • Email Address: ___________________

  • Emergency ContactPeron's name and phone:  ______________________________________________________

🏠 Living Situation

  • Who do you live with? __________________________________

  • Any recent changes in housing or relationships? ____________

💬 Presenting Concerns

  • What brings you to therapy at this time?

  • How long have these concerns been present? _______________

🧠 Mental Health History

  • Have you received counseling before? □ Yes □ No
    If yes, when and for what reason? _________________________

  • Any history of psychiatric hospitalization? □ Yes □ No

  • Current medications (mental health or otherwise):

❤️ Emotional Wellness

  • How would you describe your current mood? _______________

  • Any recent experiences of grief, trauma, or loss? ____________

  • Do you have thoughts of self-harm or suicide? □ Yes □ No
    If yes, please explain: _________________________________

🙏 Spiritual/Cultural Identity (Optional)

  • Do you identify with a particular faith or spiritual tradition?

  • Are there cultural values or practices important to your healing?

🎯 Goals for Therapy

  • What would you like to achieve through counseling?

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