Forms

If you're a new client, please complete the following forms and bring them to your first therapy session. To download just double click.

Client Information Form and Psychological Services Agreement

HIPPA

Parents, please complete the following form for your child:

Developmental History Form

Consent To Treat Minor Form

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Information Release Form