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

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.

Autism and Alzheimers Disease: Key Insights from Research

Recent studies reveal that autistic adults have a higher incidence of Alzheimer’s disease compared to non-autistic peers, yet are diagnosed less frequently. This highlights a concerning trend in cognitive decline among autistic individuals as they age.

Innovative Social Robots Enhance Autism Therapy Engagement

New trials reveal that social robots can enhance autism therapy by improving child engagement and access, matching traditional treatments while reducing costs.

Four Distinct Types of Autism Identified by Researchers

Emerging research suggests autism is not a single condition but a spectrum of distinct profiles, helping explain rising diagnosis rates. Recognizing multiple types of autism supports more personalized assessments and interventions, moving away from one-size-fits-all approaches. This nuanced understanding can improve outcomes, compassion, and quality of life for individuals on the spectrum and their families.

Chat GPT: Your Fatal Drug Buddy

The death of a 19-year-old after relying on ChatGPT for drug-related guidance exposes critical limits of AI in mental health and substance use contexts. This case underscores how emotional isolation, misplaced trust in algorithms, and lack of human support can escalate risk, reinforcing the need for clinician-led, compassionate intervention over digital reassurance.

A Promising Biomarker For Social Impairment In Autism

Researchers report that higher cerebrospinal fluid levels of vasopressin are associated with more severe social communication deficits in individuals with autism. Published in Autism Research, the findings suggest vasopressin may serve as a biological marker of social impairment and a potential target for future therapeutic interventions.

Constipations Hidden Impact on Autism Behaviors

A study in npj Biofilms and Microbiomes found that children with autism who experience constipation show more severe behavioral symptoms and distinct gut microbiome changes. Using multiomics analysis, researchers highlight the critical role of gastrointestinal health in autism, suggesting that addressing constipation may help improve overall symptom management.

Internet Addiction Among Ethiopian Youth: A Growing Crisis

Reports from Ethiopia reveal alarming rates of internet addiction among university students, closely tied to depression, low self-esteem, and online exploitation. With limited regulation and awareness, young people face heightened mental health risks and social harm, underscoring the urgent need for education, family engagement, and stronger protective policies.

Non-Traditional Autism Therapies: Are They Effective?

Researchers reviewed 248 meta-analyses covering 200+ trials of alternative autism treatments. Most approaches, including probiotics and acupuncture, showed little evidence of benefit and limited safety data. The findings underscore the need for rigorous trials and evidence-based guidance to help families make informed, safer treatment decisions.

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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