If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Registration Form
- Health Care Provider Disclosure Form
- Notice of Privacy Practices (read only)
- Acknowledgement of Receiving NPP and Disclosure Form
- No Secret Agreement (required for couples and family counseling only , not individual counseling)
If you would like me to coordinate care with another provider (for example, your primary care physician, school counselor, registered dietician, etc.), complete this form to authorize release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free, click here .