Helpful Forms

If you’re a new client, please complete the following forms and bring them to your first therapy session.

• Statement of Understanding
• Adult Intake Assessment
• Child/Adolescent Intake Assessment
• Insurance Verification Form

Please go to RATES and INSURANCE Page to find out how to verify coverage prior to Inital appointment, thanks

Before your first visit please take the time to review this inportant document regarding privacy and confidentiality.

•  HIPAA Form

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