Client Paperwork

Psychotherapy Inquiry

Please fill out this form if you are interested in psychotherapy services for your child.

Adolescents

All parents or legal guardians of clients under the age of 18 must review, sign and return the following documents before the intake session. You can return the form in person or electronically. All information included will be kept secure and confidential.

Consultation & Releasing Information

A release of information allows me to speak with other healthcare professionals, institutions, or individuals about your care (or your child's care). I must have your express written consent to share information with anyone about you and your treatment (or your child and their treatment). The following form must be filled out, signed, and discussed before I can consult with anyone.