Helpful Forms

If you're a new client, please complete the following 3 forms and bring them to your first therapy session.

• Client Psychotherapy Intake Form
• Limits of Confidentiality/Therapy Cancellation Policy
• Financial Terms

You can also scan the QR code to fill out our new patient intake form:

Or click here to fill out the new patient 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:

• Authorization to Disclose Information Form

Note: To download Adobe Acrobat Reader for free, click here .