Forms

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

• Individuals and/or Family Therapy Intake Form Individual-Family Intake Form
• Couples Intake Form Couples Counseling Intake Form
• AND Informed Consent

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 health-protected information under HIPAA law:

• Authorization for Release of Protected Health Information

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