Forms to bring to your first appointment:
Please download, print and fill out the first two forms found below prior to your first visit. If you are coming with your partner for couples counseling, you will each need to fill out your own New Client Intake Form. Once completed, the forms will stay in your file, so if you wish to have a copy of the Practice Policies and Consent form to keep for yourself, please print off two. Thank you.
| For New Client 2019.pdf |
| Practice Policies and Consent Form.pdf |
You do not need to print this off, but please read the statement below about my HIPAA/ Privacy Practices.
| Notice of HIPAA/ Privacy Practices.pdf |
If you would like to give me information to bill you for each session via a credit or debit card, (so you do not need to bring payment to each appointment), please print and fill out this credit card authorization form.
| CC-authorization.pdf |
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