The following forms may be requested for use during the course of therapy:

OR: Work with Sherry to create a patient portal where you can download forms. and upload them, completed, to your private patient portal or fill them out online. Use the below link if you have already established a patient portal.

New Client Form

The below forms are for your convenience. Please bring completed forms to your first session if they are

relevant to your situation:

Client Satisfaction Survey

Patient Medication Form

Good Faith Estimate (for out-of-network services)

PHQ9

Service Agreement

Substance Use History Form

Please utilize the following forms to help me to provide the best possible service to you:

Couple's Counseling Agreement

Mood tracking Chart

. Patient Portal

PTSD Checklist

For New Clients: Please complete the New Client Form and Client History Form to upload or bring to your session

The forms below are for your review. On the "New Client Form" (above) please initial that you have seen them and agree.

(You do not need to print out the forms below, if you do not want to.)

THANK-YOU! I LOOK FORWARD TO WORKING WITH YOU!