Switch to Accessible Site
Couple
Couple Smiling
Get BackTO BEING YOU

Helpful Forms

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

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy
  • Consent to Treat a Minor

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

Client Psychotherapy Intake Form  
 Limits of Confidentiality/Therapy Cancellation Policy  
 Authorization to Disclose Information Form  

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

Helpful Forms

Click here to view and print forms for your appointment.

Click Here