Forms

If you're a new client, please complete the following forms and bring them to your first therapy session. To speed up your check-in, you may email the completed forms to [email protected]

• New Client Paperwork
• Client Questionnaire
• Member Rights Privacy & Policy
• Client Service Agreement
• Legal Agreement
• Custody Issues Form

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.