Forms

If you're a new client, please Click Here to contact me so that I can create an account for you. There you can create a log in where you can manage your profile on my HIPAA compliant portal, allowing you to digitally fill out forms, message me privately, make payments, etc. 

If you prefer to print and fill out your forms manually, please complete the following forms relevant to you and bring them to your first therapy session.

• Individual Client Intake Form
• Couples Intake Form
• Informed Consent and Cancellation Policy
• Informed Consent for Online Therapy
• HIPAA Authorization

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 Disclose Information Form

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