The future depends onwhat you do in the present
Couple Riding Bikes

Helpful Forms

If you're a first-time client, please review and complete the following forms,  print them and fill them in) and bring them to your first session. Filling out the intake forms will help you prepare for the session by clarifying your reasons for coming. Feel free to use additional space if needed.


Individual 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 & HIPAA Form


If you will be receiving couples therapy, please fill out this form:

Couples Therapy Questionnaire

 

 

 It is recommended to peruse my website, including documents that serve as guides for you to achieve an effective therapy experience.


CREATING A PERSONAL VISION
SETTING INTENTIONS FOR COUPLES THERAPY

 

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