Forms

If you're a new client, please complete the following forms and bring them to your first therapy session or you may scan them and email them to me at [email protected].

• Client Psychotherapy Intake & Informed Consent Form - Adult
• Client Psychotherapy Intake & Informed Consent Form - Child/Adolescent

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.