New Patient Forms

If you're a new client, please complete the following forms and bring them to your first appointment.

• Client Psychotherapy Intake Form
• Limits of Confidentiality/Therapy Cancellation Policy

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 information:

• Authorization to Disclose Information Form

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

Questions about fees or cancellations? See rates & insurance. Wondering what to expect? Read common questions, or call 757-461-7571.