Forms

All forms will be available to you to e-sign online once you set up your first appointment . However, if you do not wish to fill out online, please complete the forms below and get them to your therapist prior to your first appointment. If you print at home, please print double sided (short edge). Please keep a copy of these forms for your personal records.

ADULT INTAKE

Each adult, please read, fill out and sign one set of forms listed below and print double-sided:

COUPLES INTAKE

Each adult, please fill out a complete set of intake forms packet above for each person. In addition, please read, sign and date the No Secrets Policy Below.

ADOLESCENTS

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.

Helpful Forms

Click here to view and print forms for your appointment.

Click Here