If you’re a first-time client, please download and complete the following forms;
Choose the appropriate Intake Information for you and the Consent to Treatment form. Bring these to your first session with your insurance card or EAP referral information. Make sure you use the minor form if the primary client is under 18.
- Client Intake Information Form*
- Couples Intake Information Form
- Minor Client Intake Information Form
If you would like me to coordinate care with another provider (for example, your psychiatrist, doctor, inpatient facility, etc.), complete this form:
- Release of Information form (ONLY if you want to coordinate care with another provider)