If you're a new client, please follow the link below. Select New Patient and complete your intake paperwork prior to your first therapy session. Once you have created a profile in our secure client portal you are also able to select a provider and available appointment time.
Below are a few intake documents that can be printed and completed prior to your appointment, there will be additional forms that will need to be completed prior to your appointment.
- Adult Intake.pdf
- Child/Adolescent Intake.pdf
- Financial Responsibility Form.pdf
- Child/Adolescent Executive Functioning Questionnaire.pdf
- Child/Adolescent Social Cognition Questionnaire.pdf
- Policy for Chid/Adolescent of Separated/Divorced Parents.pdf
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy/ counseling information:
Note: To download Adobe Acrobat Reader for free, Click here.