Helpful Forms

If you're a new client,  please complete the following  forms prior to the initial session.  (The Notice of Privacy Practices and the Social Media Policy are your copies.)

For Adults
The Intake Form (Adults):  intake-form-2019.pdf

The Notice of Privacy Practices: privacypractices.pdf

The Social Media Policy:socialmediapolicy.pdf

The Acknowledgement Form: private-practie-acknowledgement.pdf


For Minors

The Intake Form (Minors) :intake-form-2019-minor.pdf

The Notice of Privacy Practices: privacypractices.pdf

The Social Media Policy:socialmediapolicy.pdf

The Acknowledgement Form: private-practie-acknowledgement.pdf

The Child Behavioral Assessment Form (Please fill it out by each parent.): child-behavioral-assessment-by-parents.pdf


The Authorization Form to release Information:

For Adults: authorization-form-rev819.pdf

For Minors:authorization-form-minor-revised2019.pdf