Forms

Below are the forms to complete and bring with you to your first appointment. PLEASE ALLOW 30-60 MINUTES TO PRINT, READ, AND COMPLETE.

There are a lot of forms here but each one is part of your therapy process. Your commitment to filling these out in as much detail as possible does two things: limits the time that we spend in session discovering, gets you thinking in anticipation for our first session about uncovering layers to get to the heart of the matter.

Individuals

INDIVIDUAL INTAKE FORM

POLICIES AND PROCEDURES+INFORMED CONSENT

(Print 2 copies -an office copy and one for your records) 

NOTICE OF PRIVACY RIGHTS

PAYER INFORMATION FORM

Groups

COUPLES INTAKE FORM (Both of you fill out this form separately so print 2 copies)

COUPLES AGREEMENT

NO SECRETS AGREEMENT

POLICIES AND PROCEDURES+iNFORMED cONSENT

(Print 2 copies -an office copy and one for your records)

NOTICE OF PRIVACY RIGHTS

Payer Information Form

Misc - (not neccesary for first appt)

Authorization to release confidential information

AUTHORIZATION TO Exchange CONFIDENTIAL INFORMATION