If you’re a new client, please pcomplete the following forms and bring them to your first therapy session.  If you are unable to print them out, please arrive 30 minutes before your scheduled appointment time to complete them in the office.  I will have them on a clipboard on the countertop in my office for you upon your arrival.

If you have any questions regarding questions or information on any of these forms, please do not hesitate to discuss them with me during your appointment time.  Thank you.

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All Clients: please click on the link below to print out the client information sheet.  Please complete and bring to your first appointment.
Client Information Sheet

Intake Forms

  • Adult Clients: please click on the link below to print out the intake forms.  Please complete and bring to your first appointment.
    Adult Intake Form
  • Parent(s): please click on the link below to print out the intake forms for your child.  Please complete and bring to your first appointment.
    Child Intake Form
  • Adolescents: please click on the link below to print out a form for your teenager to complete.  Please have them complete this form on their own and bring to the first appointment.
    Adolescent Intake Form

All Clients: please click on the link below to print out the Client Informed Consent Form. Please read this form over carefully before signing and bring to your first appointment.
Client Informed Consent Form

All Clients: please click on the link below to print our the Notice of Privacy Practices.  Please read over and sign before your first appointment.
Notice of Privacy Practices

All Clients: please click on the link below to print out the Medication History Form if you are on or have been on any medications.
Medication History Form

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), click on the link below and print out this form to authorize release of psychotherapy information:
Authorization for Release of Information