Helpful Forms

Forms

If you’re a new client, please complete the following forms and bring them to your first therapy session.

Consent to Treatment
Child Development History
Client Psychotherapy Intake Form
Electronic Payment Authorization

Release Of Psychotherapy Information

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

Other Downloads

Parenting After Divorce
High-Conflict Divorce
Things Not To Say To Your Child Following Divorce