NEW CLIENTS
New clients may view, print and fill out the following two documents prior to our first meeting. Please click on the document’s name to download the files:
Client Information (.pdf)
You may also fill out the Client Information online by clicking this link: Client Information Web Form
Office Policies & Informed Consent (.pdf)
You can read the Office Policies & Informed Consent online by clicking here: Office Policies (you will still need to sign the document at our first appointment)
COUPLES
Each member of a couple should complete his or her own Client Information sheet (above) and then both read and sign the Policies & Consent document (below):
Office Policies & Informed Consent - Couple (.pdf)
If you are unable to download, print and fill out these documents, please let me know and we can arrange for them to be filled out at the office prior to our first appointment.
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RELEASE OF INFORMATION
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), print out and complete the following “Release of Information” document:
Release of Information (.pdf)
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ADDITIONAL THERAPY DOCUMENTS
Child Psychotherapy Contract (.pdf)
Third-Party Payer for Services (.pdf)
If you are unable to download, print and fill out these documents, please let me know and we can arrange for them to be filled out at the office prior to our first appointment.
NOTE: If you do not have a program on your computer for viewing .pdf files you may download the FREE adobe reader program by clicking the button below.
