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

 

For Children & Adolescents:

Consent for Treatment for Minor(s) and Others

Agreement for Psychotherapy Services

Hippa Notice of Privacy Practices

Authorization to Release Information -- 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

For Adults:

Consent for Treatment

Agreement for Psychotherapy Services

Biographical Information Intake Form (Adult) -- Please fill out as much of this form as you feel comfortable at this time. We will fill in the gaps together in session when you feel comfortable disclosing any delicate details in your history.

Hippa Notice of Privacy Practices

Authorization to Release Information -- 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

Forensic Forms Coming Soon!


The pain is there; when you close one door on it, it knocks to come in somewhere else...
— Irvin D. Yalom, Staring at the Sun: Overcoming the Terror of Death