If you're a new client, please complete the following forms and email, fax, or bring them to your first therapy session.
- Client Services Agreement
- Adult Client History
- Child/Adolescent Client History
- Notice of Privacy Practices/HIPAA
- HIPAA Acknowledgement
- Insurance Verification
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 medical information:
Note: To download Adobe Acrobat Reader for free, click here.