Helpful Forms

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

• Client Psychotherapy Intake Form
• Minor Intake Form
• Contract for Counseling Services
• Consent To Treat

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:

• Authorization to Disclose Information Form

If you would like to receive discounted rates on counseling services, please fill out this paperwork and bring the required documents with you to your scheduled appointment.

• Sliding Scale Application