Forms
If you are a new or returning client, you can print and fill out the attached forms prior to our first session. This will reduce the amount of valuable meeting time we spend on paperwork.
Client Informed Consent – Adult, Couples, Families
Client Consent to Treat a Minor
Credit Card Authorization Form
Read this: HIPAA Notice of Privacy Practices and then print and sign this: HIPAA Acknowledgement
If you have seen a therapist, psychiatrist, or doctor in the past, it may be helpful for me to talk to them. If that is the case, I will ask you to fill out the form below to acknowledge that you approve my sharing information with the individual/organization. This authorization may be revoked in writing by you at any time.
