New Client Forms

Client Information Form

Client Questionnaire

Informed Consent & Practice Policies: Psychotherapy (Updated January 3, 2020)

Informed Consent & Practice Policies: Psychological Testing (Updated January 3, 2020)

HIPAA Notice of Privacy Practices

Authorization to Release Information Form

Prior to Initial Session

To make the best use of our time together, please print, complete, and sign the above forms, and bring them to our initial session (the session after the 20-minute free initial consultation; no prior paperwork is required before attending this free consultation).  If you attend the 20-minute initial consultation in-person, I will provide these forms at the end of the consultation if we continue to work together.  I am happy to address any questions and/or concerns during our next meeting.

If you are unable to download or print these forms prior to the initial session, please contact me and I will provide them for you at the office.  You will then need to arrive at least 15 minutes early to complete the paperwork.

If you plan to use insurance, it is also recommended that you contact your insurance provider before our appointment to be informed of your mental health benefits, and of any fees collected during the time of service.