If you are a new client, you will receive a welcome e-mail once you schedule your first appointment. This e-mail will provide instructions on setting up your Therapy Portal. While all forms will also be included in the e-mail, I am also including them here. Please complete the appropriate intake packet and other forms listed below and bring them to your first therapy session. If you are coming for couples therapy, both the client and the spouse need to also complete the Couples Counseling Assessment and Consent Forms. Please date all forms for the date of your initial appointment.
Adult Clients:
Adult Intake Packet
Children and Adolescents (please download, print and complete both forms):
Child-Adolescent Intake Packet
Statement of Understanding Child Therapy
Additional Forms for Couple Counseling (complete both):
Note: The primary client needs to complete the adult intake forms above. Both the client and spouse need to complete the forms below.
Couple Counseling Assessment
Couple Counseling Informed Consent
Coordination of Care:
If you would like me to coordinate care with another provider (for example, your psychiatrist, school, etc.), complete this form to authorize release of therapy information:
General Release of Information
Release to Primary Care Physician
Note: To download Adobe Acrobat Reader for free, click here.
