If you are a new client, please complete the following forms and bring them to your first therapy session. Please note that each individual participating in counseling must complete a separate form.
- Client Information
- Emergency Contacts
- Acknowledgement of Receipt
- Release of Information for Relationship Counseling (do not complete if you are engaging in individual counseling only)
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 (This is an OPTIONAL form):
Please read and save the following documents for your records. No additional signatures are necessary.
Note: To download Adobe Acrobat Reader for free, click here.