If you're a new client, please complete the following forms and bring them to your first therapy session.
- Child History Form
- Adult Therapy Intake Form
- Statement of Practice for Evaluations
- Statement of Practice for Therapy
- Adult Neuropsychological History Questionnaire
- Credit Card Authorization 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:
Note: To download Adobe Acrobat Reader for free, click here.