If you're a new client, please complete the following forms and bring them to your first therapy session.
If you want to save time and paper, you can fill out my forms online using the links provided.
All online forms are HTTPS, meaning the information you transmit is secure and encrypted on its way to me.
- Intake Form (PDF)
- Online Intake Form(Online)
Limits of Confidentiality/Therapy Cancellation Policy (PDF)
If you would like me to coordinate care with another provider of your optimal health team (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Authorization to Disclose Information Form (PDF)
- Authorization to Disclose Information Online Form (Online)
Note: To download Adobe Acrobat Reader for free, click here.