New-Client Forms

• Adult Intake Form

  For new adult clients. Please complete before your first session.

• Adolescent Intake Form

  For new clients who are minors, completed with a parent or guardian.

• Limits of Confidentiality & Cancellation Policy

  The limits of confidentiality and the session cancellation policy.

• Telemental Health Consent Form

  Consent for virtual (telehealth) sessions.

• Authorization to Disclose Information

  Complete this only if you would like me to coordinate care with another provider, such as your physician.

Forms open as PDFs. If you have trouble opening or completing a form, just call or text and we will sort it out together.