If you're a new client, please complete the following forms and bring them to your first therapy session.
For the Client Psychotherapy Intake Form below, you can enter all of the information via the PDF form. If you do not have Adobe Reader installed, please install it via the link at the bottom of this page.
After installation of Adobe Reader, simply click the Client Psychotherapy Intake Form link below.
- Using your mouse, place your cursor in the field--highlighted in blue
- Enter/ type the information in the field
- Use the Tab key to get to the next field, or place your cursor in the next field, manually.
- For entering information in tables, place your cursor in the first table row, highlighted in blue, enter/type your information, then use the Tab key to go to the next row within the table
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:
Note: To download Adobe Acrobat Reader for free, click here.