Client Forms

Therapy Clients can print out, read, sign and bring to first session the following forms or complete in person:


Informed Consent for Psychotherapy Services

Notice of Privacy Practices (Client hand-out) 

Telemedicine Informed Consent Form

EMDR informed consent form for adults

treatment fee agreement

If you would like to give permission for me to communicate with a specific person, provider, etc. on your behalf for the purpose of coordinating care or treatment, please print out, sign and bring to session (or email, fax, mail) the following Authorization to Exchange Confidential Information Form:

Authorization To Exchange Confidential Information

New IST or Coaching Clients can complete and bring the following questionnaire to their first visit or complete it during session:

Life Coaching Questionnaire


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