Please complete the following forms by printing and falling-out the forms so that they are ready for your first appointment.
Patient Intake Form:
Please fill in the information below and bring it with you to your first session.
*Please note: information provided on this form is protected as confidential information.*
Authorization to Disclose Information 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 psychotherapy information:
