Forms

New Client Packet

Please contact me via phone to schedule a meeting and receive a new client packet.

Telehealth Consent Form

Please download, fill out and email this completed document prior to your first session beginning.​

Release of Information Form

Complete and return this form to give consent to communication with other individuals.

Consent to Treat as a Minor Form

Complete and return this form if you are a minor consenting to your own treatment.

HIPPA Notice

This document is a notice of privacy practices for therapy.

Good Faith Estimate Notice

This document is a notice of client's rights to a good faith estimate of fees.