Forms to Fill Out

Below are the links to the appropriate forms for you. Just click on the link, whether it’s for an adult client or a child client, print out the forms and fill them out to bring to your first session.

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:

  • Authorization to Disclose Information Form


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