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.