Forms

If you are a new client, please complete the following forms and bring them to your first therapy session.

• Client Psychotherapy Intake Form
• Limits of Confidentiality/Therapy Cancellation Policy

If you are using Telemental Health services, please sign the waiver below.

• Telemental Health Waiver

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:

• Authorization to Disclose Information Form

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

Other Forms:

Life Coach Questionnaire

New clients or current clients, click here for patient portal.