New Client Forms

New Clients

Please download, print, fill out the forms and bring them with you to the first session or email to my secure email server.

Informed Consent doc | pdf

New Patient Form doc | pdf

HIPAA doc | pdf

HIPAA Billing Disclosure doc | pdf

Teletherapy Release doc | pdf

Reach Out Today

To schedule an appointment please send an email through the below form. Be sure to include your insurance information, scheduling preferences, and reasons for seeking counseling.