Paperwork & Forms

Once you've scheduled an appointment with me, please download, print and fill out the appropriate forms for your initial visit. This will allow for an easier, more in-depth first assesment meeting about your reasons, goals and expectations for our time together.

All forms are in PDF format, and require Adobe Acrobat Reader (4.0 or later) to open for printing. Forms can either be opened in a separate window or downloaded by right-clicking each link and selecting 'Save Link As'.

Intake Forms

Consent to Treatment Form
Confidentiality Form
HIPAA Form
Acknowledgment of Notice Form

Adult Forms

Client Form 1
Client Form 2

Children Forms

Young Adult Form
Child History Form
Child Checklist Form