Helpful Forms

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

  • Client Disclosure Form
  • HIPPA Form
  • Intake info Cover Sheet 
  • Limits of Confidentiality/Therapy Cancellation Policy

If you have questions regarding your insurance coverage, the Insurance Questionnaire form is a useful tool to use when contacting your insurance company.
If you will be using a credit/debit card to pay for your sessions/co-pay, please complete the Client Easy Pay form.

Thank you! I look forward to meeting with you!

 intake info cover sheet
 Client Disclosure Form
 HIPPA form
 Limits of Confidentiality/Therapy Cancellation Policy
 Insurance Questionnaire

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