Helpful Forms

If you're a first-time client, please review and complete the following forms, bring them to your first session.

  • Client Intake Form
  • Credit Card Authorization Form (if you wish to pay for your sessions with a credit or debit card)

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
Consent to Release
Credit Card Form

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


Helpful Forms

Click here to view and print forms for your appointment.

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