Helpful Forms

If you're a new client, please complete the following 3 forms and bring them to your first therapy session. You may print out a copy for yourself as well.

Like to save paper? You can do the Client Intake Form on line at Set Appointment Now

Client Intake Form

Informed Consent and Service Agreement

Hippa Form

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:

• Authorization to Disclose Information Form

Note: To download Adobe Acrobat Reader for free, click here.