Signup For Therapy

Are you ready to make lasting changes in your life? If so, you need to complete the paperwork to become a Client. Completing the paperwork is easy, as you can complete it all online without printing out forms. To do so, follow the instructions below. 

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Online Forms

To complete the forms, please visit the link below and create a free account. This account is a part of my content management system and is secured by the latest security standards. This allows you to complete all forms before the session without having to print them out and complete them by hand.

You will first need to create an account. To do so, input your First Name, Last Name, E-Mail Address, and Password. Your password needs to be at least six characters. Once inputted, you can begin to complete the paperwork. Make sure to complete all the forms, sign, and submit them.

Note: Signed Divorce Decree or Signed Adjudicating Parentage Decree (Required if the patient is a minor under 18 with divorced parents. Send to me well before the first session so I can determine if both parents need consent.) 

Online Forms Signup Page

Printable Forms

The following is a list of important client forms. The forms marked as required will need to be completed before I can begin providing psychotherapy services. If you have any questions about the forms, you can Contact me.

Note: Signed Divorce Decree or Signed Adjudicating Parentage Decree (Required if the patient is a minor under 18 with divorced parents. Send to me well before the first session so I can determine if both parents need consent.) 

Consent for Services (Required)
New Patient Questionnaire (Required)
New Patient Forms (Required)
Notice of Privacy Practices (Required)
Emergency Information (Required)
Email Consent (Required)
Teletherapy Consent (Required)
Authorization to Release Information Form
Sliding Scale Form

*Note* All forms are in PDF Format. Click Here to view PDF files using Adobe Reader.

Resources

New Autism Treatment Targets the Gut, Not the Brain

A recent study reveals that fecal microbiota transplantation (FMT) could significantly improve symptoms of autism in children. Led by Dr. Priyom Bose, the innovative therapy uses hydrogen nanobubble water, avoiding traditional methods that require antibiotics. This research highlights the potential of gut microbiome manipulation in treating autism spectrum disorder.

Autism and Comorbidities: What Every Parent Should Know

A new review confirms that autistic children carry a significantly heavier burden of co-occurring health conditions than neurotypical peers. Across every age group studied, children with autism showed dramatically higher rates of gastrointestinal problems, sleep disorders, feeding difficulties, and anxiety — highlighting the urgent need for comprehensive, team-based care beyond the core autism diagnosis.

Smartphone Use in School Is Harming How Teens Think

A new study published in JAMA Network Open finds that teenagers spend more than two hours on their smartphones every school day, checking their phones 64 times during school hours. Researchers from the University of North Carolina found this habit is directly fragmenting attention spans and weakening cognitive control in adolescents.

Indonesia Bans Social Media for Children Under 16

Indonesia has banned children under 16 from high-risk social media platforms including TikTok, YouTube, and Instagram, with enforcement beginning March 28, 2026. Driven by alarming rates of cyberbullying, exploitation, and digital addiction, the move makes Indonesia the first non-Western country to restrict children’s access to digital spaces by age.

Depression, Not Autism, Fuels Suicide Risk in Older Adults

A new study published in Nature Mental Health reveals that elevated suicide risk in older adults with autistic traits is not caused by autism itself. Instead, depression, trauma, and social isolation are the primary drivers. Understanding these factors is critical for protecting an often overlooked and underdiagnosed population as they age.

The Impact of Digital Brainwashing on Children Today

Forensic psychologist Takanori Endo warns of ‘digital brainwashing’ affecting children, linking smartphone use to mental health issues and rising suicide rates in Japan.

TikTok Use Linked to Social Anxiety and Memory Lapses

A new study links TikTok addiction to social anxiety and cognitive errors. Researchers found that fear of missing out fuels excessive app use, impacting memory and attention.

Autism and Dental Care: Practical Strategies for Parents

Toothbrushing can be a daunting task for children with autism. A new guide from the University of Utah Health offers parents effective strategies to ease this daily challenge, addressing sensory sensitivities, motor skills, and communication barriers to promote better dental hygiene.

The Mental Health Benefits Of A Smartphone Break

Experts reveal that taking a three-week break from smartphones can significantly enhance mental health, surpassing the benefits of a two-week vacation. This finding was shared at a symposium addressing the growing issue of mobile addiction, especially among adolescents, exacerbated by the pandemic.

Did A Boy Kill His Adoptive Father Over Nintendo Switch?

A tragic incident involving an 11-year-old boy who shot his father raises critical questions about youth impulse control, mental health, family dynamics, and firearm safety. While motives remain unclear, the case underscores the importance of understanding risk factors and strengthening early intervention and prevention efforts for families.

I Will Contact You Soon

Thank you for your interest. I will do what I can to help you and your family. Once I receive the paperwork, I usually respond within 24 hours. If you have any questions, please Contact Me!

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