If you're a new client, please complete the following forms and bring them to your first therapy session. If you are coming in for a couple's session, family or group session, each person must fill out their own New Client Form and sign the Signature Form that states you have read the HIPAA Policy and Informed Consent forms.
HIPAA Policy - PLEASE READ
Informed Consent - PLEASE READ
New Client Form
Telemental Health Informed Consent
Credit Card Authorization Form
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), or if you'd like me to consult with a former therapist, please complete this form to authorize release of psychotherapy information:
Release of Information
Note: To download Adobe Acrobat Reader for free, click here .