Forms

1.  If you are a new client, please complete the following forms and email them to [email protected].

• Child Intake Form

2.  If you would like me to coordinate care with another provider (for example, a teacher, former therapist, primary care physician, etc.), complete this form to authorize the release of psychotherapy information:

• Release of Information Form

3.  If you are separated or divorced (or in the process of either), please read and sign the associated policies:

•  Treating Children of Separated or Divorced Parents Form

Note: To download Adobe Acrobat Reader for free, Click here.

Insurance Form