Client Forms

For your first appointment, please print and complete the Intake Form that best describes you. Although it may take some time to complete, this information will help me understand your history and your focus for therapy. Parents, please ask your teen to complete their portion of the Intake Form.

Thank you for taking this courageous first step in making a commitment to your life’s story.

Select ONE

Adolescent Intake Form

Adult Intake Form (Individuals and Couples)

Required Forms 

Please review the Disclosure Form and the Notice of Privacy prior to your first appointment.  At the first appointment, I will review the information and have a hard copy for you to sign.  There’s no need to make copies of these forms.

Disclosure Form

Notice Of Privacy Policies

Release of Information Form


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