ALL New Patients:
If you're a new client, 18 years and older, please complete the following forms and bring them to your first therapy session.
New Patients seeking Couples Counseling:
If you are a new patient seeking couples counseling, each partner will need to complete this form individually and bring it to your appointment. Please do not share your answer! Please print 2 packets, one per person!
New Patients Under the age of 12:
If you are a new patient with a child under the age of 12, please complete this form and bring it to your first appointment.
If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information: