If you're a new client, please complete the following forms (choose the one intake form that fits for you) and bring them to your first therapy session.
- Adult Client (15+) Intake Form
- Tween/Adolescent Intake Form
Child Intake Form
- HIPAA_Notice of Privacy Practices
- Mandatory Disclosure Statement
- Consent for Treatment/Practices and Policies
- Therapy Cancellation and No Show Policy
If you would like me to coordinate care with another provider, or if there is someone you would like me to able to talk to regarding your treatment (for example, your psychiatrist, primary care physician, mother, etc.), please complete this form to authorize release of psychotherapy information and bring it with you to your next session:
Note: To download Adobe Acrobat Reader for free, click here.