If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Intake Form - Pg. 1 & Pg. 2
- Limits of Confidentiality/Therapy Cancellation Policy
- Telemental Health Consent Form
- Waiver of Confidentiality for Family Therapy
- Waiver of confidentiality for couple's therapy
- Release of Information Form
- Mental Health Intake Checklist
- Family Therapy Intake 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:
Note: To download Adobe Acrobat Reader for free, Click here.