Helpful Forms

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

  • New Client Registration Form
  • Attachment Form
  • Individual History Form, or if coming in for couples counseling
  • Coupes Intake Form

Please review the Notice of Privacy Policies, either online or you may print the policies file below.

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:

  • Release of Information Form

New Client Registration Form Notice of Privacy Practices 
 Individual History Form  Release of Information Form
 Couples Intake Form  Attachment Form

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

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Helpful Forms

Click here to view and print forms for your appointment.

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