Forms

Prior to your first appointment, please read and sign my professional disclosure form and fill out a client information form.

Professional Disclosure Form:

Client Information Forms:

For adolescent clients, please fill out two client information forms: one that is completed by the adolescent and one filled out by the parent/guardian

Release of information

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), please fill out the release of information form below: