If you’re a new client, please complete the first four forms and bring them to your first therapy session. If you are receiving phone or internet sessions please print and complete the Consent for Telepsychology form.
For Adolescent clients print and complete the Consent for Adolescent form.
For coaching clients, I will send you a welcome packet when you sign up for coaching.
- Client Psychotherapy Intake Form
- Client Agreement Form
- Confidentiality Agreement Form
- Limits of Confidentiality/Therapy Cancellation Policy
- Financial Responsibility
- HIPAA Release Form
- Consent for Text Email Transmission
- Electronic Payment Disclosure
- Email and Text Risk Disclosure
- Therapy Call Prep Form
- Child Adolescent Clinical Assessment
- Authorization to Disclose Information Form
- Consent for Telepsychology
- Consent for Adolescent
- Medical Treatment and Consent Form
Note: To download Adobe Acrobat Reader for free, click here.
For New Clients, we offer a FREE 15 minute session!
This free session is for telephone, email, or Skype appointments only.