New Patient Forms 2018-03-12T23:53:25+00:00

New Patient Forms

I consider your time to be very valuable.  Please complete the forms below and bring them to my office for your first visit.

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Patient Intake Form
Patient Policy Statement
Authorization to Disclose Information

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

Seeking counseling for yourself or your relationship is a bold step. The reward for the risk will be well worth it!

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