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

• Limits of Confidentiality/Therapy Cancellation Policy
• Adult Intake Form
• Child Age 11-17 Intake Form
• Child Age 6-10 Intake Form

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 Disclose Information Form

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

For the office:

Demographics

Direct Referral Form

GAD

PHQ

Release of Information

Pre-Authorized Credit Card Use

LLPC Disclosure

Intern Disclosure