If you're a new client, please complete the following forms at least 24 hours prior to your appointment.  Include the "Consent to Treat a Minor" for clients 18 and under.

• Client Intake
• Agency Policies and Procedures
• Consent to Treat a Minor
• Insurance Reimbursement & Therapy Policy
• Client's Rights and Responsibilities
• Billing & Insurance Information
• Cancellation & Credit Card Authorization

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:

• Release of Information Form

If you have recently visited our office, please complete our Client Satisfaction Survey:

• Client Satisfaction Survey

If you are a provider's office referring a client use this form:

• Referral Form 

Note: To download Adobe Acrobat Reader for free, click here.