Therapy & Counseling Forms




If you're a first-time client, please review and complete
the following forms, bring them to your first session

  • Client Intake Form
  • Confidentiality and Cancellation Policy

Please complete this form if you would like me to coordinate care
with another provider (i.e. your physician, your psychiatrist,
endocrinologist, etc.),

  • Consent to Release

Client Intake Form

Confidentiality and Cancellation Policy

Consent to Release


Note: To download Adobe Acrobat Reader for free, click here .

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