Forms

For Adult Clients:

These two (2) forms need to be completed before therapy can begin.  Please download them, complete them, and return them to me when you come in for your first appointment.  Or, if you prefer, you may fill them out in person when you arrive at the office.

Client Information Form

Client Consent Form

If the need arises for me to consult with another professional such as a prior therapist, a physician, or a psychiatrist, please complete the form below.

Release of Information

For Child or Adolescent Clients (under the age of 18):

These (2) forms need to be completed before therapy can begin.  Please download them, fill them out, and bring them to the first appointment.  If you prefer, you can fill them out at the office prior to the start of your first appointment.

Consent for Treatment of a Minor

Intake for a Child/Adolescent

Should the need arise for me to consult with another professional regarding your child/adolescent, please complete the form below.

Release of Information