Helpful Forms

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

If you are a new minor client , please complete the following forms with your parent or legal guardian and bring them to your first session. IMPORTANT: Therapy services cannot be provided without a custodial agreement on file when one has been filed with the courts. If applicable please bring your custodial agreement for your child to their first appointment.

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:

If you are with an organization and would like to request a speaking appointment on a mental health topic please complete this form.

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

Helpful

Click here to view and print forms for your appointment

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