If you will be a new patient, please download the first THREE forms (white text), fill out and bring to your intake appointment.
Please read the three documents in yellow before you sign the Signature Page.
The last form is for your information.
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Home
Bio
Services
Forms
Directions
Patient Information Form
Symptom Checklist
Acknowledgement & Consent for Treatment
Patient_Services_Agreement_April_2024.doc
How To Benefit From Therapy
Clinical Psychologist
Release of Information
HIPAA Information
Phone, Email, Text & Social Media Policy
Informed Consent for Telehealth Services
EFFECTIVE & ESSENTIAL THERAPY
Health Related Informed Consent for In-Person Services
Your Rights and Protections Against Surprise Medical Bills
