The forms below are provided for convenient download on your home computer.  Please print and complete these forms, and bring them with you to your initial appointment.  By doing so, we will be able to spend more time exploring your goals and treatment needs and less time focused on paperwork.  I am happy to answer any question you may have regarding the forms at our first meeting. 

Consent and Disclosure Form

HIPPA

Intake

Other Forms

If you would like me to contact another provider (i.e. your psychiatrist, primary care physician, etc.), please print and complete this form:

Authorization to Release Confidential Information