Forms

If you are a new client, please print and fill out the first 3 forms below to bring to our first meeting. You do not need to fill out the Telehealth Consent Form unless we have agreed to use online counseling for our sessions together. If you are using your insurance for counseling, please read and sign the HIPPA form as well.

If you are coming in as a couple, please print out two intake forms and have each partner fill one out separately.

We will go over each of these forms in our first session, where I will also be happy to answer any questions you have.

Intake Form

Professional Disclosure Statement

Consent to Treatment

HIPPA Notice of Privacy Practices

Telehealth Informed Consent