If you're a new client, please complete the following forms and bring them to your first therapy session.
- Adult Psychotherapy Intake Form
- Child/Teen Psychotherapy Intake Form
- Client Information Form
- Disclosure Statement
- Fee Agreement
- Limits of Confidentiality/Therapy Cancellation Policy
- Release of Information
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:
Note: To download Adobe Acrobat Reader for free, Click here.