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

• Client Personal History / Intake Form
• Couple's Counseling Information Form -One for each person
• Personal History - Children and Adolescents (<18)
• Limits of Confidentiality/Cancellation and Payment Policy Form

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

Consent to Release
Personal History - Children and Adolescents (<18)
Adult Client (18+) Personal History / Intake Form
Couple's Counseling Information form - One form for each person
Limits to Confidentiality, Cancelation and Payment Policy

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