Client Forms

Prior to your first appointment, would you please fill out the two following forms and either fax or email them to me 1-2 days prior to your first session. If you are meeting me as a couple, would you individually please fill out a Patient Information Form, however, both can read and sign one Consent for Treatment Form.

• Patient Information Form
• Consent for Treatment Form

If you would like me to coordinate care with another professional (for example, your psychiatrist, primary care physician, teacher, pediatrician, etc.), please fill out and sign the following form:

• Consent for Release of Confidential Information

Thank you and I look forward to meeting with you.