Prior to your first appointment, please complete each of the new client intake forms found below. If you are age 18+, please complete the Intake Questionnaire - Adult.
If your child is under 18 years of age, please complete the Intake Questionnaire - Parent and have your child complete the Intake Questionnaire - Teen. All new clients are required to complete and return each of the additional forms provided below as well.
Either bring your forms with you to your first session or send them to the email address located to the right, ensuring they are received in plenty of time prior to your first session.
- Informed Consent for Psychotherapy
- Official Practice Policies/Notice of Privacy Practices
- Intake Questionnaire - Adult
- Intake Questionnaire - Parent
- Intake Questionnaire - Teen
- Client Financial Responsibility
- Credit Card Authorization
- Consent for Telehealth Session
If you feel that you would like to collaborate your session with another provider, simply fill out the following form.
Social Media Policy: Due to the importance of your confidentiality, as well as the importance of minimizing dual relationships, I do not accept friend or contact requests from current or former clients on any social networking site. I believe that adding clients as friends or contacts on these sites may compromise confidentiality and privacy, as well as blur the boundaries of a therapeutic relationship. If you have any questions about this, please bring them up at your next session and we can discuss the matter further.