Forms for Your First Session:

Please complete the following forms and bring them to your first session or allow yourself 15 minutes prior to your appointment to complete the form in the office:

 

1. Client Intake Form: This form seeks current contact information and general background, employment and family history information, which is needed for my records. Leave blank any question you would rather not answer. Information you provide here is held to the same standards of confidentiality as therapy. 2. Consent to Treatment & Recipient's Rights: This form states that you enter into therapy voluntarily with me as your therapist. It further explains your rights and the limits of confidentiality.
3. Cancellation Policy: This form explains my cancellation policy and asks for your signature confirming that you understand and accept the policy.

Additional Forms:

4. Consent to Release Information: If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), please complete this form.