Helpful Forms

If you're a first-time client, please download, print and complete the two following forms, bring them to your first session.

• Client Intake Form
• Limits of Confidentiality/Cancellation Policy Form

If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form. If you do not wish for me to speak to someone regarding your treatment you do not need to download, print and fill out this form, only the two above:

• Consent to Release Information Form

Client Intake Form

Confidentiality and Cancellation Policy

Consent to Release

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