Contract

Please take a moment to review my contract and feel free to ask me questions. You can print it out and home and fill it out to save time in my office.


Intake Form

Please print and fill out this intake form prior to coming into your first appointment.


Child Intake

Child and Adolescent Intake Form is best filled out by parents and if the child is old enough they can contribute as well. Please print and fill it out and bring it in with you to your first appointment.


Couples Intake

Please have all members of the relationship fill out this form separately. It is best to fill this out prior to your first appointment.


Release of Information

Release of Information form is used when you would like me to discuss elements of your treatment with a third party.


Privacy Practices

This is a HIPPA notice of my privacy practices. Please review it carefully in order to understand your patient rights.


Notice: Good Faith Estimate

Notice informing you of your rights as a result of the “No Secrets Act”.


Good Faith Estimate

This is a sample Good Faith Estimate.