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.