If you are a new client, please complete the following forms online.
- Counseling Intake Form - Individuals
- Counseling Intake Form - Couples
- Informed Consent & Policies- Please read carefully
- Informed Consent - Signature page - Please sign
- HIPAA Information - Please read carefully
- HIPAA Signature page - Please sign
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:
Note: To download Adobe Acrobat Reader for free, click here.