If you're a new client, please complete the following forms and bring them to your first session.
- Registration Form.doc
- Notice of Privacy Practices.doc
- Limits of Confidentiality .doc
- Policies.doc
- Cancellation Policy.pdf
- Symptom Checklist .doc
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form:
If you are a parent / guardian seeking treatment for a minor, please complete this form:
Note: To download Adobe Acrobat Reader for free, click here.


