Clients should use the designated forms that I outlined in my email to you prior to our first visit. You can click on the document's name to view or download the files. Please print the Agreement for Therapy form for in-office sessions, complete, sign and bring to the first session. Please print the Agreement for Teletherapy form for teletherapy sessions, complete, sign, scan and email to me at [email protected] Couples or families should each print out forms and sign their own Agreement for Therapy or Teletherapy Services form. If you are unable to download this information, let me know and I can arrange to email it to you. If you are using a credit card, please print out the Credit Card Billing Authorization,complete, sign and bring to first session or scan the completed, signed form and email to me at [email protected]
- Agreement for Therapy Services
- HIPAA Privacy Policy
- Office Policies
- Credit Card Billing Authorization
- Agreement for Teletherapy Services
- Teletherapy Policies
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 therapy information:
Note: To download Adobe Acrobat Reader for free, click here.