forms

Before our first session, I may request that you download, print and read/complete one or more of the following forms. Please bring these forms to our first session. If you have any questions about the information contained or requested in any of these forms, I'm glad to assist you in any way I can. We can address those questions in our first session.

Intake Form

Disclosure statement

Notice of Privacy Practices

 

When I need to consult with other professionals (such as a physician or attorney) about our work together, I will ask you to download, print and read/complete the form below.  This form gives me your written consent to share information about our work together with specific persons whom you designate.

Release of Information