If you're a first-time client, please review and complete the 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:
- Consent to Release Information Form
Please complete the Credit Card Authorization form if you prefer to use a credit card as your method of payment. The Authorization Form will be kept on file and your card will be charge at the time of service.
- Authorization Form
|Client Intake Form|
|Confidentiality and Cancellation Policy|
|Consent to Release|
|Credit Card Authorization Form|
|Online Consultation Agreement
Note: To download Adobe Acrobat Reader for free, click here.