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)
- HIPPA
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.