If you are a new client seeking counseling services and you would like to complete your intake paperwork electronically using a HIPPA-compliant, secure online form, please click here.
If you prefer to download intake forms and complete them by hand, then please complete the following forms and bring them with you to your first therapy session:
New Client History Questionniare
Adult Symptom Questionnaire
Minors (Ages 13-17)
New Client History Questionnaire
Adolescent Symptom Questionnaire
Also, 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.
If you would like for me to keep your credit/debit card on file and automatically charge your card for services rendered, complete a credit card authorization form.