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 to Do When the Urge Hits — and Why “Just Don’t” Never Works

You are not going to defeat the urge, and every plan built on defeating it will fail. Here is what to do instead when your hand starts moving toward the phone.

Why You Reach for the Phone the Moment You’re Bored

You did not decide to pick up the phone. The reach had already happened by the time you noticed it. Here is what is actually going on in that gap.

Living for the Weekend: Why We Lose Our Discipline — and How to Get It Back

Most of us don’t lack willpower — we’re running from an area of life that feels out of control. A therapist (with his own history) on how chasing pleasure erodes discipline, and how to rebuild it one small step at a time.

What Actually Helps an Autistic Child When Screen Time Has Tipped — Beyond Just Taking the Device Away

Taking the device away removes the behavior, not the need underneath it. Here’s how to find what the screen is doing for your autistic child — and replace it with something that holds.

Is It a Special Interest or a Screen Addiction? How to Tell the Difference in an Autistic Child

Crush a healthy special interest and you take away something that genuinely helps your child. Dismiss a real addiction as “just his thing” and it quietly costs sleep, school, and friendships. Here’s how to tell which one you’re actually looking at.

How to Set Screen Limits With an Autistic Child Without the Daily Meltdown

For autistic children, the screen-time meltdown is rarely defiance — it’s a transition and predictability failure. Here’s how to build limits that don’t depend on winning the daily battle.

Why Autistic Kids Are More Vulnerable to Screen Addiction (And What Parents Can Do About It)

The tablet meltdown isn’t just defiance. Autistic children are genuinely more vulnerable to screen and internet addiction, because the screen offers exactly what their wiring craves: predictability, reward, regulation, and connection without friction. A therapist who treats both autism and internet addiction explains why the risk is higher — and what actually helps parents.

Heavy Social Media Use Linked to Anxiety in Medical Students

A new study published in Cureus finds that medical students who use social media more than three hours a day report triple the rate of anxiety and significantly lower academic scores. The damage appears tied less to total screen time than to how that time is spent.

Can We Trust the Research Behind ABA Autism Therapy?

Applied Behavior Analysis is the most widely recommended autism intervention in the country, yet a new analysis finds 93% of ‘no conflict of interest’ statements in ABA research are false, with most studies authored by people who profit from it. That doesn’t prove ABA harmful, but the evidence deserves far more scrutiny.

Are Girls Biologically Protected Against Autism?

Boys are diagnosed with autism roughly four times as often as girls, and new research in Nature Genetics offers the clearest explanation yet. Genes that escape silencing on the so-called ‘inactive’ X chromosome — especially a master regulator called ZFX — may give girls a genetic buffer, even as diagnostic bias keeps many girls overlooked.

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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