Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session. This includes both my Professional Disclosure Statement and Counseling Intake Form. This will allow us to begin to determine what the goals of treatment are and how treatment will be conducted.

  • Professional Disclosure Statement
  • Counseling Intake Form


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 therapy information:


  • Consent to Release Information

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