Forms

You may download my practice forms here, print them, and bring them in to our first session. Note that some forms are required, others are optional, some have different versions depending on the type of treatment, and some are just for your own information and do not need to be given to me. If you are unsure which ones you should fill out, contact me.

Intake Information: Required; select the version that best applies to who will be the client (couple/family, individual adult, or child)

Notice of Privacy Practices (brief & full): These are for your reference only.

Acknowledgement of Receipt of Notice of Privacy Practices: Required

Policy Statement: Required

Insurance Info and Consent: Only required if using insurance to pay for services