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.
Forms For My Practice
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.
