If you're a new client, please complete the following forms and bring them to your first session.
- Disclosure Statement
- Client Information Intake Form
- Fee Agreement
- Consent for Treatment of a Minor
- Medical Records Policy
- Consent for Recording Counseling Sessions
- Request for Electronic Communications
- Parent/Collateral Disclosure Form
Please review the following information which we can discuss further at your first appointment.
In order that I may provide the best care I ask that you complete a release form for me to contact your child's pediatrician. If there is anyone else you feel it would be beneficial to coordinate care with, please complete additional forms: