Intake Forms
To minimize paperwork at our initial consultation, please review, print, and sign the forms below and bring them with you to the consultation. You may also refer back to these forms at any time for information regarding my policies as well as your rights and responsibilities.
(Click to access linked form)
Please read my Notice of Privacy Practices to ensure that you are familiar with how psychological and medical information may be used and disclosed and how you can get access to this information.
Please complete a Release of Information form if you would like me to be able to consult with your other clinicians/providers regarding your treatment (for example, psychiatrists, former therapists, physicians, school personnel, agency representatives).