After scheduling your first appointment, you may print and complete the following forms and bring to your initial session. If you are not able to do so, please arrive 10 minutes early to complete the necessary paperwork before your appointment time.
All Clients
New Client Intake Forms: Demographic and clinical form to be completed.
New Client Agreement Form: Office policy agreement to begin treatment.
Credit Card Billing Form: Authorizes the use of your credit card for payments and any past due balances.
HIPAA Notice: (for review, no signature needed): Provides information on your rights to privacy.
Telehealth Consent Form: Explains policies and procedures specific to transitioning your treatment to video sessions during the Covid-19 pandemic.
Adolescent Therapy
Informed Consent: Explains policies and privacy rights specific to treatment of adolescents under 18, to be signed by parents/legal guardian before the beginning of treatment.
Couples Therapy
Informed Consent: Explains policies and privacy rights specific to couples treatment, to be signed by both parties before the beginning of treatment.
Release of Confidential Information
Release of Information: Allows your therapist to release confidential information to authorized individuals.