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

Early Sensory Differences May Predict Autism Risk

A new study reveals that children with a family history of autism or ADHD show distinct sensory processing patterns. Sensory hyper-responsivity may indicate an increased risk for autism, highlighting the importance of early intervention strategies.

Biological Clues To Hidden Stress In Autistic Children

A recent study highlights the potential of measuring hair cortisol levels as a method to assess long-term stress in autistic children, who often struggle to communicate their emotions. This innovative approach could enhance understanding of their emotional states and improve behavioral assessments.

Maternal Distress and Autism Links: New Research Insights

New research reveals a link between maternal psychological distress during pregnancy and the risk of autism spectrum disorder in children, highlighting sex-specific associations. The study, part of the Japan Environment and Children’s Study, analyzed data from over 63,000 children, emphasizing the importance of maternal mental health.

Autism and Facial Cues: A New Perspective on Emotion

A new study reveals that autistic individuals express emotions differently than non-autistic adults, suggesting emotion recognition issues may stem from these variations. Conducted using advanced motion capture technology, the research highlights the unique emotional communication styles of autistic individuals.

Internet Addiction and Its Impact on Cognitive Resilience

A recent study by Jo’rabek Muhammadolimov reveals that excessive internet use significantly diminishes cognitive resilience. Analyzing 30 participants, the research found a troubling link between increased screen time and reduced cognitive performance, highlighting the negative effects of constant online engagement on attention and mental fatigue.

Hong Kong Weighs Social Media’s Impact on Youth

The Hong Kong Legislative Council addresses social media’s effects on children, focusing on internet addiction and privacy risks. Health Secretary Lo Chung-mau outlines government strategies to mitigate these impacts on youth.

New Blood Test Targets Maternal Autoantibody Autism

MARAbio has launched the MAR-Autism Test, a revolutionary blood test that detects maternal autoantibodies linked to autism. With over 99% specificity, this advancement promises to transform autism diagnosis and enable early interventions for at-risk pregnancies.

Treating Internet and Gambling Addiction with Naltrexone

Recent research highlights Naltrexone’s effectiveness in reducing internet addiction by blocking opioid receptors in the brain. This medication, traditionally used for alcohol dependence, shows promise in curbing cravings for various addictive behaviors, including compulsive shopping and gambling.

What Parents Can Do To Prevent Childhood Internet Addiction

A recent study highlights that 28% of Indonesian primary school children are at risk of internet addiction, with over 63% spending more than three hours online daily. This underscores the vital role parents play in preventing excessive internet use among youth.

Prenatal Factors Linked to Autism Diagnosis in Children

A recent study in *Pediatric Research* reveals that prenatal and maternal health factors, including BMI and mental health, may increase autism risk in children. This highlights the complex origins of autism, blending genetic and environmental influences during pregnancy.

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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