Forms

Registration and Informed Consent [Click here for form]
Please print out, complete and sign the Registration/Informed Consent form and bring the first page with you to your first session.

Keep pages two and three which provide information on therapy policies, and the Rights to Privacy Act.

Couples Therapy Policy [Click here for form]
If you are coming in as a couple, please print out and complete the Couples Therapy Policy Form.

Release of Confidentiality [Click here for form]
If you would like for me to release confidential information to another health professional, please complete the Release of Confidentiality form and either mail it, fax it, or bring it to your next session.