Helpful Forms

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

Client Intake Forms

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


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.


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