Request Appointment

UPDATED  COVID- 19 INFO

SELF. CENTERED. THERAPY.

Finally, it's about You, Your Self & Why. From your point of You.

INTAKE PAPERWORK

Signing these forms prior to our first meeting does not obligate you to continue working with me. 

it does allow us to have more time talking about how I might be of support to you. it also can provide answers to more questions you may have regarding my practice policies. all forms are confidential with the noted exceptions listed on the agreement for psychological services form.

agreement for psychological services

CREDIT CARD FORM

NEW CLIENT INFO FORM (Adult)

Client Information form (age 12-17)

CONSENT FOR TREATMENT FORM (Adult)

Consent for Treatment form (age 12-17)

HIPAA FORM

RELEASE OF CONFIDENTIAL INFO

TELE-THERAPY AGREEMENT

GROUP INTAKE FORMS