Helpful Forms


If you're a new client, please complete the following forms and bring them to your first therapy session.

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

If you would like to use a credit card as a form of payment, I will leave your credit card on file. Please complete the form below.

If you receive any Telehealth Services, please complete the following form.

Good Faith Estimate

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Helpful Forms

Click here to view and print forms for your appointment.

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