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)

Couple's Therapy Intake Form

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