Helpful Forms

If you're a first-time client, please review and complete the following forms, (fill them in and print them) and bring them to your first session.

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.


Email Correspondence

Note: To download Adobe Acrobat Reader for free, click here.