Helpful Forms

If you are a new client, please complete the following forms and bring them to your first therapy session.


Informed Consent & Office Policies

Fees and Cancellations

HIPAA Signature

New client intake form

HIPAA guidelines for your information only. You do not need to print this out unless you want to.

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:

Release of Information


Note: To download Adobe Acrobat Reader for free, click here .

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HELPFUL FORMS

Click here to view and print forms for your appointment.

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