Forms

Informed Consent and Service Agreement
This form is to be signed by all clients. It provides information about my office policies, patient rights, and client confidentiality.
Note: Please read the document carefully and let me know if you have any questions or concerns. Sign page 3 of this document for my records. You may keep page 1 and 2 for your records.

Intake Information
This form is to be filled out by all clients. Please fill out one copy for each person seeking therapy.