If you're a first-time client, please review and complete ALL the following forms at your leisure and bring them to your first session. Doing so will avoid us having to take time out of your session.
- Client Intake Form
- Registration/Insurance Information
- Welcome Packet
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Child Checklist (for parents of child clients only)
ONLY if you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:
- Consent to Release Information Form
Client Intake Form |
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Consent to Release |
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Registration Form |
for insurance |
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Welcome Packet |
explains policies and procedures |
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Child Checklist |
for children |
Note: To download Adobe Acrobat Reader for free, click here.