New Client Paperwork

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

• Client Information Form
• Credit Card Authorization Form
• Insurance Information Form
• New Client Intake Screening
• Notice of Privacy Practices Signature Page
• Practice Policies Signature Page
• Telehealth 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 psychotherapy information:

• Release of Information Form

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