Therapy Forms

Welcome Packet

Get oriented by reviewing the information below before your first appointment. 

1.  Office Policies

Learn about confidentiality, benefits and risks, the process and payment.

2.  Notice of Privacy Practices

Understand your rights and my commitment to keeping your private healthcare information secure and confidential.

3.  Social Media Policy

Read about I conduct myself on the Internet as a therapist.

Print and complete the following three documents. Bring them to your first appointment. To protect your privacy, do not email me the completed forms.

4.  Client Information Form

Share background to help me understand you better. 

5. Checklists

Describe how you've been feeling recently.

6.  Consent

Acknowledge you have read the forms and sign the consent.

During Therapy

1.  Authorization for Exchange of Information

Give me permission to consult or exchange information.