For your first visit please read the first form and sign the second.  Then follow instructions if the patient is a minor, adult, or couple.


Notice of Privacy Practices

NPP Consent Form



Individual Clients

Informed Consent

Adult Checklist of Concerns

Client Information Form



Couples Therapy 
(Each partner fills out client information form and both sign informed consent and no secrets policy)

Client Information Form

Informed Consent

No Secrets Policy






If you are a parent of a minor please fill out the forms below:

Checklist of Concerns

Child Check list of Concerns
Fill out both checklists of concerns in reference to your child

Informed Consent for Minors


Client Information Form