If you're a new client, please complete the following forms and bring them to your first therapy session. We will also need a copy of your driver's license and insurance card upon your arrival to your first appointment.
- Policies and Notice of Privacy Practices
- Registration Form
- Insurance Form
- Electronic Payment Authorization
- Financial Agreement
For Parent or Guardian of Child Under age of 18 ONLY.
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:
Note: To download Adobe Acrobat Reader for free, Click here.