Forms

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

  1. Intake Form for Individuals
  2. Informed Consent/Agreement
  3. Telehealth Consent/Agreement
  4. What Do You Want From Counseling
  5. Child(ren) Intake Form (as applicable)


    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:

    Authorization to Exchange Information

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

    Monday - Saturday By Appointment Only