Client Forms

If you’re a new client, please complete the following forms and bring them to your first therapy session.

Client Contact Information Sheet

Client Intake

Limits of Confidentiality

Intake Paperwork (PDF)

Intake Paperwork (Word)

Intake Paperwork ESPANOL (PDF)

Intake Paperwork ESPANOL (Word)

If you would like me to coordinate care with another provider (for example, your psychiatrist,
primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Authorization for Release of Information