Forms

If you're a new client, please print and complete the following forms and bring them to your first therapy session. If you would prefer, you may fill out the forms at my office.

  • Client Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), please complete this form to authorize release of psychotherapy information:

  • Authorization to Disclose Information Form

Client Intake Form  
Limits of Confidentiality/Therapy Cancellation Policy  
Authorization to Disclose Information Form  

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

Questions?
Please contact me anytime between Monday through Friday, from 9 AM until 7 PM, to request a free 30 minute phone or office consultation.

Helpful Forms

Click here to view and print
forms for your appointment