If you're a new patient, please complete the following forms and bring them to your first therapy session.
- New Patient Biographical Intake Form
- Disclosure Statement
- Consent to Treat a Minor (if needed)
- Credit Card on File (optional)
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 a current patient, here are some additional forms for your convenience:
Note: To download Adobe Acrobat Reader for free, click here.