If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Psychotherapy Intake Form or Couples Psychotherapy Intake Form for Couples
- 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.), complete this form to authorize release of psychotherapy information:
- Authorization to Disclose Information Form
|Patient Health Questionnaire|
|General Anxiety Disorder|
|Individual Client Psychotherapy Intake Form|
|Couples Psychotherapy Intake Form|
|Minor Intake Form|
|Authorization to Disclose Information Form|
|Adult Wellness Assessment|
Note: To download Adobe Acrobat Reader for free, click here .