Helpful Forms

To be prepared for your first visit with us, please see below.

Section One : Print, complete (select either Adult or Child), and bring to your first appointment:

Or you may complete the Online E-Sign Adult or Child Intake - Please contact our administrative team and they will be able to email you the requested forms


Section Two : Reference/Read Only and/or Save/Print for your records:

Additional Forms Available Upon Request-

(Please contact our administrative team and they will be able to email you the requested forms)

2022 Informed Consent for Telemental Health Treatment Form

Informed Consent & Health Risk Assessment (Adult 18+) Combo

Informed Consent & Health Risk Assessment (Adolescent 12-17) Combo 

Informed Consent & Health Risk Assessment (Child 0-12) Combo 

Therapist Acknowledgement Form

Authorization for Release of Information - If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete the form in PDF or Online E-Sign form can be emailed to you to authorize release of psychotherapy information:

**If you are returning to in-person sessions, please complete the following form --

Informed Consent for In-Person Services During Covid-19 Public Health Crisis


PDF's of Additional Forms (Print As Needed)


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

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Helpful Forms

Click here to view and print forms for your appointment.

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