Helpful Forms

If you're a first-time client, please review and complete the following forms, bring them to your first session.

• Individual Intake Form
• Couples Intake Form
• Informed Consent Form

If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:

• Consent to Release Information Form

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

We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.