COVID-19 Protocol
Please read this carefully before coming to your appointment.

COVID-19 Protocol

New Client Info Form
Please print this form, and bring it with you to your first appointment.

New Client Information Form

Health Insurance Claim Form
Please print this single page insurance information form, and bring it with you to your first appointment.

Health Insurance Claim Form

Notice of Privacy Practice
Please read this notice carefully.

Notice of Privacy Practice

Psychotherapist – Patient Contract
Please read carefully this contract.

Psychotherapist – Patient Contract

Signature Form
Please print this single page form, sign it, and bring it with you to your first appointment.

Signature Page

Internship Disclosure

Authorization Consent