Intake Forms

broken concrete

I realize that intake forms may seem as dry as mud, but they will help me get to know you quicker. If you're a first-time client, please review and complete the following forms, bring them to your first session.

  • Client Intake Form
  • Limits of Confidentiality/Cancellation Policy 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
Client Intake Form
Confidentiality and Cancellation Policy
Consent to Release
Teletherapy Consent Form

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

Schedule Appointment

Start your new path in life and be the change today!

Click Here

Helpful Forms

Click here to view and print forms for your appointment.

Click Here