Tip: Save time and money by completing forms before your appointment, so that we can make the best use of the time allotted per session.
Note: To download Adobe Acrobat Reader for free, click here.
To download applicable forms, please click on the link that best describes what service you are seeking:
I am a new client seeking counseling services.
I will be participating in a full 1.5-to-2 hour substance abuse evaluation.
I will be participating in a full 1.5-to-2 hour mental health evaluation.
I am a mental health professional seeking clinical supervision or consultation.
If you would like for me to obtain records from or communicate with any physician, psychiatrist, psychologist, or other health professional that is, was, or will be working with you, then please complete a two-way release of information form and bring it with you to your appointment.
To view and/or download a copy of our HIPAA Privacy Notice, click here.
If you would like our office to keep your credit/debit card on file and automatically process payments for services rendered, complete this credit card authorization form.