If you're a new client, please complete the following forms and bring them to your first therapy session.
- New Patient Registration and Informed Consent Please fill this out, read, sign, and bring to your first session. This form explains the therapy process. If you have any questions, please feel free to ask them at your first session.
- Client Intake Form Please fill out this form as completely as possible. It will help us use our first session more productively, and may help you clarify what your goals for therapy are.
- Notice of Privay Policy - HIPPA (Read Only, no need to print) You don't need to bring this with you; you may wish to keep it on file.
- Acknowledgement of Receipt of NPPPlease sign and bring to first session. As of April 14, 2003 I am required to ask for this form, which documents that you have read the Notice of Privacy Practices.
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.