All forms are fillable PDF forms. Please return the Client Information Sheet, Electronic Media Consent, Consent for Treatment, and the Financial Responsibility Form prior to our first appointment.
If you would like me to be able to share information about your care with anyone, please complete a separate Release of Information for each party. You might consider allowing contact with a primary care physician, psychiatrist, or an emergency contact.
The Notice of Privacy Practices is for your reference and does not need to be returned to me.
Please contact me if you are having difficulty downloading, editing, or sending the files. For data to be saved to the files, you may need to download them rather than opening them from this site.