Client Forms

Intake Forms

For your convenience, please feel free to download and complete one of the following New Client Intake Forms prior to our first meeting.

Individual New Client Intake Form

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Couples New Client Intake Form

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Release Forms

If you would like me to speak with another treatment provider please complete the Consent to Release Information Form.

Consent To Release Information Form

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Consent for Tele-Mental Health Services

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Fees

All fees for therapy are per session and are subject to change. Each session lasts 50 minutes. Payment is expected at the time of treatment.

Cancellation Policy: There are no charges for appointments cancelled 24 hours in advance and are negotiable in cases of sudden illness or accidents. All other missed appointments are billed at the regular fee.