Helpful Forms
Helpful Forms
If you're a first-time client, please print, review, complete, and sign the appropriate intake forms below, and bring them to your first session.
Adult Intake Form (for ages 18+)
Child/Adolescent Intake Form (for ages 3-17)
If you would like me to coordinate care with another provider (for example, your physician, Psychiatric Nurse Practitioner, etc.), complete this form:
Consent to Release Information
Note: To download Adobe Acrobat Reader for free, click here.
"Life shrinks or expands in proportion to one's courage."
~Anais Nin