If you're a new client, please print out, complete the following appropriate forms, and bring them to your first therapy session.
- Client Intake Form
- Pediatric Questionnaire
- Functional Analysis Interview Form
- Limits of Confidentiality/Therapy Cancellation Policy
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:
Note: To download Adobe Acrobat Reader for free, click here.