Forms

Update

We are using telehealth at this time. Online sessions are conducted using video conferencing that is HIPAA-compliant and secure. We are not meeting in the office currently.

Feel free to schedule a telehealth appointment. I am committed to continuing care and helping you reach your therapy goals.

Please print and fill out each PDF document that applies

Documents for Printing
Client intake form (Opens New Window) for primary client
Adult health form (Opens New Window) for adult primary client
Child or adolescent health form (Opens New Window) for child or adolescent primary client
Couple checkup (Opens New Window) for each adult in couple therapy
Family checkup (Opens New Window) for each family member in child or adolescent therapy
Notice of privacy practices (Opens New Window) no need to print nor sign
Teletherapy informed consent (Opens New Window) for telemental health sessions