The following forms will help us establish therapy. Some may require Adobe Acrobat Reader. If you do not already have this program on your computer, you can download it for free by clicking here


​BEFORE OUR FIRST MEETING:


Please review the following forms...

This form explains my office procedures and includes an agreement for psychotherapy services. The document also includes important information about your confidentiality. If you have questions after reading this form, please bring them up when we meet.

I am required by law to provide you with a copy this HIPPA Notice of Privacy Practices so you can understand your rights and protections related to the use and disclosure of your identifiable health care information.

My social Media Policy explains my policies as they relate to our potential interactions on the Internet. Please let me know if you have questions or concerns about these policies.


PLEASE PRINT, COMPLETE, AND BRING TO YOUR FIRST SESSION:


Once you have read all three forms above (Policies, Privacy and Social Media), please sign the acknowledgement form. This states that have access to and have read all these forms. IMPORTANT: Bring this form to our first session.

Prior to our first session, please complete my Client Information Sheet and bring it to our first appointment. This will help you share important details with me and speed up the process of my getting to know you.


BEFORE THE FIRST SESSION OR LATER IN THERAPY:


IF you would like me to coordinate with another provider (for example, your psychiatrist or primary care physician), please complete this form and bring to session.

LICENSED PSYCHOLOGIST

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