Forms

Please complete all forms before your first visit. 

Disclosure Form for Individual Therapy

Disclosure Form for Couples or Family Therapy

Policies-and-Practices (HIPPA)

Credit Card Authorization Form - This form gives us authorization to charge your credit card for your appointments.

Consent to Release Information Form- This form gives our office authorization to release confidential mental health information (required only when we must contact other health professionals involved in your care).