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Office Forms

If you're a new Adult Psychotherapy client, please click on the links below to print out and complete the following forms and bring them to your first appointment.

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:

If you are the parent of a child coming in for Psychotherapy, please print out and complete the following forms and bring them in to the first appointment:
Forms for Neurofeedback Training (to be completed in addition to above forms):
   If you have confirmed that we participate in your Insurance Coverage, please fill out and bring in the following:

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


Helpful Forms

Click here to view and print forms for your appointment.

CLICK HERE