To help us make the most of your first appointment, please review the documents below before your initial session. Some are informational, while others need to be completed and brought with you to your appointment.
For your convenience, you may download all of the new client forms at once or review each document individually.
Information to Review Before Your First Appointment
Client Services Agreement
This document explains my office policies and procedures, including therapy services, fees, insurance, confidentiality, communication, and other information relevant to our work together. If you have questions after reading it, we’ll be happy to discuss them during your first appointment.
HIPAA Notice
This notice explains your privacy rights, how your health information is protected, and the circumstances under which it may be disclosed.
Forms to Complete Before Your First Appointment
Client Registration
Please complete this form before your first appointment. It includes basic contact information and insurance information if you plan to use your insurance benefits.
Acknowledgment Form
After reviewing the Client Services Agreement and HIPAA Notice, please sign this form acknowledging that you have received and read these documents.
Credit Card Authorization
This form allows me to securely keep a credit card on file for payment of your account.
Telehealth Services Informed Consent Form
Please complete this form if we have agreed that any of your sessions will take place by telehealth.
Client History
This form provides background information about your history and current concerns so we can spend more of our first session focusing on what is most important to you.
Download the complete New Client Forms packet here.
If you are unable to download the forms, please let me know. I would be happy to mail them to you. If needed, you may also arrive about 15 minutes before your appointment to complete the paperwork in the office. Simply let me know in advance so I can have everything ready for you.