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Flower

Forms

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

  1. Intake Form for Individuals
  2. Intake Form for Couples (Print two)
  3. Informed Consent/Agreement (Couples print two)
  4. Child(ren) Intake Form (as applicable)

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 Exchange Information


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

Helpful Forms

Click here to view and print forms for your appointment.

CLICK HERE