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

How Career Concerns Influence Internet Addiction in Teens

The future can appear scary, especially for teens. Concerns over the right career have caused many teens to retreat into an Internet Addiction. While career concerns exist for most teens, many have become addicts to avoid making a career choice. Read further to learn more, and how to help your teenager out of this crisis.

The Digital Trap: Social Anxiety & Online Addiction

Social anxiety and internet addiction often go hand in hand, creating a cycle of avoidance and isolation. While the online world offers a temporary escape, it can worsen real-world anxiety. This article explores the connection, its impact on mental health, and practical steps to break free from the cycle and regain control of your life.

Grounding: An Effective, But Strange Coping Skill

Grounding is a powerful yet often misunderstood coping skill that helps bring your focus back to the present moment. Whether you’re overwhelmed by anxiety, dissociation, or sensory overload, grounding techniques can anchor you in reality and provide a sense of control. Learn how this “strange” method can become a vital part of your mental health toolkit.

The 5 Best Focus Applications for iPhone

Struggling with digital distractions? Explore the best focus apps for iPhone to boost productivity and regain control over screen time with effective tools and strategies.

The Anger-Addiction Cycle: How to Break Free

Anger and addiction are often deeply connected, creating a destructive cycle. This article explores their relationship and offers practical strategies, including therapy, anger management, and healthy coping mechanisms, to help individuals break free from this cycle and achieve lasting emotional and physical recovery.

Realistic Goals: Why Kids Need Boundaries, Not Myths

Telling children they can achieve “anything” may seem supportive but often sets unrealistic expectations. This well-intentioned encouragement can lead to disappointment and anxiety when kids inevitably face limitations. Instead, parents should promote healthy, achievable goals and teach resilience. Setting realistic expectations equips children with genuine confidence, allowing them to navigate life’s challenges successfully and thrive emotionally.

Grounding: A Simple Coping Skill for Stress and Anxiety

Grounding is a powerful coping skill that helps manage stress, anxiety, and dissociation by focusing on the present moment. Using physical, mental, and soothing techniques, grounding interrupts negative thoughts and promotes emotional stability. Learn how to apply these simple yet effective methods to regain control and find calm in challenging situations.

Simple Strategies for Reducing Anger in Autism

Managing anger in Autism can be challenging, but with the right strategies, individuals with Asperger’s Syndrome can improve emotional regulation. This article explores practical techniques, therapeutic approaches, and personalized strategies to help reduce anger and enhance emotional well-being, providing valuable insights for those seeking to manage anger in a healthy, productive way.

The Truth About Digital Addiction and the Brain

Behavioral addictions like gaming, social media, and internet overuse can reshape the brain, affecting decision-making and impulse control. Learn how these addictions impact brain function and discover effective treatment strategies, including specialized digital addiction therapy to regain balance and control over technology use.

Minecraft Addiction: How to Find Your Balance

Minecraft captivates millions with creativity and adventure but can lead to addiction if unchecked. By setting clear boundaries, diversifying activities, and prioritizing real-world connections, players can enjoy Minecraft healthily.

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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