Forms

Below you will find my Notice of Privacy Practices, Therapy Consent, and Background Information forms. Please print and complete these documents prior to your initial appointment. Reviewing the Notice of Privacy Practices will provide you with information about how I keep your information confidential and strive to protect your privacy. The Therapy Consent form outlines the structure of therapy and what you can expect in sessions. Filling out the Background Information form will help to orient me to your current concerns and relevant history.


I look forward to discussing any questions that you may have about these documents when you visit the office.

Consent for Therapy
Privacy Policies
Intake Form for Children
Adult Intake Form