If you are a new client, please be sure to fill out the following forms that apply to you. It is very important you read through the forms thoroughly. This will also help ease you into the first session and allow as much time as possible to be spent focusing on you. For general guideline pertaining to my online Privacy Policy please see bottom of each page.
To fill out forms, click the LinktoFill feature next to each form.
By filling out the forms below you are consenting to the use of electronic records and signatures.
If you prefer to receive the intake forms by another format, please notify me.
Adult Service Agreement https: https://pdf.ac/DDtQBgSB
Adolescent Service Agreement https://pdf.ac/gGCmSFIU_
Client Information Form https:https://pdf.ac/NLKLhNgcQ
Notice of Privacy Practices Receipt https://pdf.ac/SUjOD
HIPPA Authorization https://pdf.ac/4k587z
Support Group Service Agreement https://pdf.ac/_KWTgCzUz