If you're a first-time client, please review and complete the following forms, bring them to your first session.
- Client Intake Form
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Policies and Financial Agreement
If you would like to pay electronically by credit card:
- Electronic Payment Authorization
If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:
- Consent to Release Information Form
 Client Intake Form |
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| Policies and Financial Agreement |
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| Electronic Payment Authorization
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| Consent to Release |
Note: To download Adobe Acrobat Reader for free, click here.