Forms

 

Please review and/or complete the following items and bring them with you to the first session. If you are not able to print the forms in advance, please arrive 20-minutes early and I will have blank copies available for you to fill out.

Notice of Privacy Practices (Please review and keep a copy for your records)

Acknowledgement of Receipt of Privacy Practice (After reviewing the above form, please complete this form and bring it with you)

Acknowledgment of Receipt of Privacy Practice – Couples (After reviewing the above form, please complete this form and bring it with you)

Client Information Sheet (Please complete and bring with you. For couples, each partner should completed one of these forms)

Upon arrival at your first appointment, you will also be asked to read through and sign an Consent to Treatment Form. Please arrive arrive a few minutes early to complete this form.