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Flower
Flower

Intake Forms

I would like to thank you for scheduling an initial "intake" appointment.  I look forward to learning about you and what you would like to get out of therapy.  After listening and askng a variety of questions, I will share my impressions of your situation and how therapy may help, or I'll give you the names of other providers or resources in the area that may better meet your needs.

Please review my Office Policies and complete the client information sections prior to your first appointment.  You may download these forms by clicking on the link below, or I can provide these forms on a clipboard in the waiting room for you to fill out and review before your appointment so please arrive 20-25 minutes ahead of time.

Thank you.

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:


Note: To download Adobe Acrobat Reader for free,
click here.

Helpful Forms

Click here to view and print forms for your appointment.

CLICK HERE