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.

The Consent for Treatment

Adult Intake Form

Child/Adolescent Intake Form

Client Contact Information Form

Credit Card Authorization Form

Limits of Confidentiality

Notice of Privacy Practice

Ayurveda Client Consent Form

Social Media Policy

Authorization to E-mail Receipt

Email and Text (SMS) Messaging Informed Consent

Health care providers, please click here for referral

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information