Helpful Forms

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

Client Psychotherapy Intake Form

Professional Disclosure/Limits of Confidentiality/Cancellation Policy

Age-appropriate consent forms for child therapy:

Informed Consent to Treatment - Teen Form

Informed Consent to Treatment - Child 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

Note: Many of these forms are in pdf format. If needed, you may download Adobe Acrobat Reader for free, click here .