Helpful Forms

I am only offering online Telehealth services at this time.

If you're a new client, please complete the following forms and bring them to your first therapy session.

• Adult Information Intake Form
• Child Information Intake Form
• Adolescent Information Intake Form
• Limits of Confidentiality/Therapy Cancellation Policy

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:

• Authorization to Disclose Information Form

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