Forms

Required Documents

Per state law, you must review and sign the following three documents before beginning therapy. Please print and sign two copies, one for yourself and one for my records, and bring them to your first appointment.

HIPAA Notice

Disclosure Statement

Use of Tele-Communication

Intake Documents

If you would like to get started on your crisis plan and intake assessment in preparation for your first appointment, feel free to download these copies. No worries if you do not complete them beforehand. We can go over them together.

Crisis Plan

Intake Assessment – Adult

Intake Assessment – Adolescent