“Happiness is not something you postpone for the future; it is something you design for the present.”
– Jim Rohn, Entrepreneur, Author, and Motivational Speaker
If you are a new client, please print and complete the following forms and scan them to me prior to our initial appointment. For those who clients who will be participating in video sessions, please also complete the Telemedicine Consent form.
- Consent to Treatment (For all clients to complete and return)
- Notice of Privacy Practices (For all clients to review)
- Acknowledgement of Receipt of Privacy Practices (For all clients to complete and return)
- Intake Form-Adult (For all clients to complete and return)
- Notice of Good Faith Estimate (For private-pay clients to review)
- Telemedicine Consent (For clients opting for video sessions to complete and return)
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete the form below to authorize the exchange or release of your psychotherapy information.
- Release of Information (Optional for all clients)