If you're a new client, please complete the following forms and bring them to your first session. For your privacy, please do not email any sensitive information. Your intakes may, however, be faxed, mailed, or brought in person.
- Adult Client Intake Form
- Teen/child Intake Form
- Limits of Confidentiality/Cancellation Policy Form
- Client Insurance Verification Form
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form:
- Consent to Release Information Form
|Adult Intake Form|
|Confidentiality and Cancellation Policy|
|Consent to Release|
|Client Insurance Verification Form|
Note: To download Adobe Acrobat Reader for free, click here.