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

• New Patient Registration (All Therapy Clients)
• Client Intake Form (Adult Therapy Clients)
• Child and Adolescent Intake Form (Child & Teen Therapy Clients)
• Limits of Confidentiality/Cancellation Policy Form
• Privacy Policy
• Authorization to Release Information
• Client Information Sheet
• Coaching Welcome Packet

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
Child and Adolescent Intake Form	Form required for consent to provide services to children and adolescents
Privacy Policy	Privacy Policy Copy for Patient Information and Signed Copy Required in File
Consent to Release Information	Authorization to Release Information
Client Information Sheet	Summarizes policies and duplicate copy of privacy policy for patient's own records
Coaching Welcome Packet	Complete start-up coaching kit, including policies and Coaching Agreement
New Patient Registration	Form required for consent to bill insurance for psychotherapy

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