Helpful Forms

First visit: Prior to our first visit new clients will need to complete the "Intake Forms" and the appropriate "Personal History form." 

The primary method to complete them is though e-mail via Adobe fillable forms. For this I will ask for an e-mail where the forms can be sent and completed before we meet. Upon completion we will each receive an electronic copy of the forms.

Two alternative options are:

1. Fill out and print the forms below and bring to the office on the first visit (or)
2. Save the files and e-mail to [email protected] for an in person or Tele-Health session.

• Intake Form (Fillable PDF)

• Personal History (Choose One)
  • Children/Adolescent History (for less than 18 years old)
  • Adult History (18 and up)

Release of Information: 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:

• Release of Information Form

For Your Information:

• Privacy Practices