If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Intake Form
- Welcome to My Practice
- HIPPA Notice
- Electronic Communication Policy
- Informed Consent Form for In-Person Visits
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:
If you are bringing in a Minor Child (under 18), please have both Legal Custodial parents complete and sign Consent for Treatment of minor form and bring with you to your child's first session.
If you will be utilizing teletherapy services, please sign the following form as well as the forms for all new clients.
