Client Forms
If you are new to therapy, please be sure to fill out the following forms, and bring them to your first session. This will help ease you into therapy, and allow as much time as possible to be spent focusing on you.
Authorization To Email Receipts
Consent For Telehealth Consultation
Copy of Release of Information Consent
Good Faith Estimate Acknowledgement form
Informed Consent for Psychotherapy
Policy for Treating a Child of Divorced, Separated, or Unmarried Parents
Psychotherapy - Insurance form
Psychotherapy Consent for Treatment - Private pay
Standard Intake Questionnaire Template - Psychotherapy
If you feel that you would like to collaborate your session with another provider, simply fill out the following form.