FORMS FOR THERAPY

To save time during your first meeting, please review these forms and either send via email or bring them with you.

Intake
Contact information, reason for seeking services
DOWNLOAD INTAKE FORM
INFORMED CONSENT
Explanation of Services and Confidentiality
DOWNLOAD INFORMED CONSENT
PRIVACY
How you prefer to be contacted
DOWNLOAD PRIVACY
HIPAA PRIVACY NOTICE
Privacy on your health information — no signature required but good to read
DOWNLOAD PRIVACY NOTICE
HIPAA PRIVACY NOTICE CONSENT
Signed consent for your health information
DOWNLOAD PRIVACY CONSENT

Therapy involves a
special conversation
from which
new possibilities
emerge.