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


Please view the forms below, print out, sign, and bring to your first session if they are relevant to your situation:

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

  

​  For New Clients:  Please print out and complete the New Client form and Client History form 

   to bring to your first 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.)



 

If your insurance or Employee Assistance Program contract differs from the above agreement, there will be a document for your review available at the first session.

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