You may download forms from here.
Client Registration Form
Complete this form when you register as a new client. This form asks for your contact information.
DOWNLOAD »
Child/Adolescent Registration Form
Complete this form when you register your child as a new client.
DOWNLOAD »
Informed Consent
It is required by law for me to provide you with this information sheet that outlines what you can expect from therapy, what laws govern counseling as well as my fees and payment schedule.
DOWNLOAD »
Privacy Practices
This notice describes how clinical information about you may be used and disclosed and how you can get access to this information.
DOWNLOAD »
Insurance Billing Form
If you choose to pay for therapy using a third party payer such as a community agency or insurance company, I will typically submit authorization and claim forms directly to them.
DOWNLOAD »
Authorization for Disclosure
This form gives me legal authorization to contact a designated person with whom you may want me to have contact with. For example; a medication prescriber or your child's teacher.
DOWNLOAD »