If you're a first-time client, please review and complete the following forms and bring them to your first session. The first three forms must be filled out and brought to the first appointment. The Notice of Privacy Practices is at the top of this page. Please read it to be informed about HIPAA.
- Client Intake Form -- Please fill this out and bring to the first appointment
- Informed Consent - Please fill this out and bring to the first appointment
- Receipt of Privacy Practices -- Please sign and bring to the first appointment
Please fill out this form if you are coming in for couple of family counseling.
If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete these forms:
If you would like to pay by credit card, please fill out this form:
Note: To download Adobe Acrobat Reader for free, click here.