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

Client Satisfaction Survey

Clinical Outcomes Rating Scale

Session Rating Scale

Patient Medication Form

Privacy Laws: Consumer Info.

Anxiety Screening

Consent to Release Information Form

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

Substance Use History Form

New Client Questionnaire

Work with Sherry to create a patient portal where you can complete your intake forms online. Use the below link if you have already established a private and personal portal.

The following forms are also available for your convenience if they apply to your situation:

Client Portal

Mood tracking Chart

For New Clients:

If you have trouble establishing or using the portal, the forms below are available to you to fill out and bring to your first session:

New Client Form

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

Couple's Counseling Agreement