For your convenience you can print and complete them prior to your first visit. You can also complete them online and I will have your information in advance. Any information submitted using online forms is transmitted securely and held in the strictest of confidence, protecting your privacy.

Required Forms:

  • Client Information
  • Release for insurance – If you decide to use your health plan for counseling services.
  • Informed consent
  • Policies and Fees
  • Payment Information and Credit Card Information

Optional Forms:

  • Consent to release or receive information – school staff, primary care, emergency contact, psychiatrist, former therapist, other.

For your reference:

Notice of Practice