Practice Forms

Patients should familiarize themselves with the practice forms that they'll need to begin treatment. These include New Patient Form, Informed Consent, Confidentiality Contract, and Fees and Payment Agreement. To view and download forms, click on the form title.

Please complete this form prior to your first session. It provides me with your contact information as well as your basic medical and psychological history. To maintain your privacy, do not send your information via email. Print the form and bring the hard copy to your session.

New Patient Form

This form explains the potential risks and benefits of therapy. It important that you are fully informed, so in addition to this written acknowledgement we will also discuss my treatment approach in detail.

Informed Consent

This forms provides a detailed fee schedule, cancellation policy, and credit card payment authorization.

Fees and Payment

This form describes the confidential nature of the therapy relationship and details specific exceptions the the confidentiality rule.

Confidentiality Contract

Practice Forms

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