Forms

Personal Info

Please fill out, sign and bring this form to our first meeting.

Informed Consent Agreement

This form explains aspects of how I work and psychotherapy in general.  Please fill out, sign and bring this form to our first meeting.

HIPAA Notice

This notice describes how psychological and health care information about you may be used and disclosed, and how you can get access to this information.  Please review this notice carefully.

HIPAA Receipt

Once you have read the HIPAA Notice, please sign this receipt form.