New Client Forms

Please review all of the following forms prior to your first appointment. Print and fill out as indicated to bring to your initial session. 

Privacy Practices Notice

HIPPA required notice of privacy policies for your records. 

Privacy Practices Acknowledgement Form

Please print and sign (or you may wait to sign a hard copy in my office) as acknowledgement that you've read and understood the privacy practices of my office. 

Risks and Benefits of Using Insurance

Please read prior to your first session if you plan to use insurance benefits. 

Professional Disclosure Statement

Information about me and your rights as a client. Please read for your information. 

New Client Information Form

This form provides me with information about how to contact you, your history, and the issues that bring you to counseling. Please print and fill out prior to your initial session.

Informed Consent and Office Policies

Please print and sign to indicate your understanding of my office policies.