If you are a new client, please complete the following forms and bring them to your first therapy session.
If you are unable to print and complete them, please call me and I will mail them to you or make arrangements for you to complete them prior to the first appointment.
- Client Psychotherapy Intake Form
- Minor Intake Form
- Informed Consent-Adult
- Limits of Confidentiality/Therapy Cancellation Policy
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
For your information, the Notice of Privacy Practices is available for your review. You may print a copy of this if you would like it.
Note: To download Adobe Acrobat Reader for free, click here.