Forms

 

There are several forms that are available for download in pdf format that should be completed prior to attending your first session:

 

Client Intake Form: This is a standard three page form that I use to collect basic demographic information about you, become apprised as to your medical/cultural background, etc.

 

Therapy Consent: A one page form that describes the framework of our professional relationship

 

Consent To Release Information: A one page form that allows me to gain your permission to release information to your referring physician, other mental health service providers, etc.

 

Psychological Testing Consent: A one page form similar to the Therapy Consent Form used for psychological testing purposes only


Psych Testing Supplemental Information: A one page form that I ask individuals to complete prior to undergoing psychological testing