If you're a new client, please complete the following forms and bring them to your first therapy session. Couples should print out two copies of each form and bring both copies, filled out, to your first session. 

Client Psychotherapy Intake Form

Adult ADHD Screening
Adult Checklist of Concerns
Depression Inventory Form
Anxiety Inventory Form

 Limits of Confidentiality/Therapy Cancellation Policy

If you are being seen as a couple, please print and fill out two copies of the following form:

 Relationship Assessment for Couples

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 psychotherapy information:

 Authorization to Disclose Information Form

 


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