My Forms are divided into two groups, Adult and Child.  They are a good way for me to get to know a little about you before our first session.  Please take your time with the forms, but if there are some areas you would prefer to leave blank that's okay.

Start by choosing the appropriate form group.  Each form group contains 5 forms.  Please print, fill-out and bring all 5 completed and signed forms in your group to your first session.  Thank you.

New Client – Adult

Adult History Form
Adult History Information

Consent for Treatment Form
Consent for Treatment

Acknowledgement of Privacy Practices
Act of Privacy Practices

Office Policies
Office Policies 2016

Credit Card Authorization
CC-Authorization Form

New Client – Child

Child History Form
Child History Information

Consent for Treatment Form
Consent for Treatment

Acknowledgement of Privacy Practices
Act of Privacy Practices

Office Policies
Office Policies 2016

Credit Card Authorization
CC-Authorization Form