Please print and then complete the intake packet bring with you to your initial session. This will allow us to complete the intake and assessment process more quickly. We will review the forms at the first session, and I will be happy to answer any questions that you have.
Child & Adolescent Clients: PDF
Adult Clients: PDF
CANS Assessment: PDF
Family Therapy Clients: PDF*
Additional Documents Needed:
For divorced parents of minor clients, please bring a copy of the custody agreement to the intake session so that I may verify who may consent to treatment.
If you wish to use insurance, please bring a copy of your insurance card with you.
If there are other people that I will need to be in contact with regarding your treatment, please print and complete the Release of Information Form: PDF