Forms

I have a paperless office. I use a online HIPPA compliant and secure service to legally sign forms online. Click the appropriate form and it will take you to the site. You can print the forms out and/or a pdf copy of the form will be emailed to you.

COUPLES FORMS

COUPLES INTAKE FORM:   Limits of Confidentiality, Directions to My Office, Initial Assessment, and Contact Information For Couples. COUPLES INTAKE FORM

For couples, in addition to the confidentiality / intake form, the following questionnaire can be a useful tool for me to have during our first session.  Couples Relationship Questionaire

INSURANCE DOCUMENT FOR COUPLES —>>>>Proof of Service for Insurance- Couples 2017

 

INDIVIDUAL CLIENT FORMS:

INDIVIDUAL INTAKE FORM:  Limits of Confidentiality, Directions to My Office, Initial Assessment, and Contact Information For Couples. INDIVIDUAL THERAPY INTAKE FORM

INSURANCE DOCUMENT FOR INDIVIDUALS —->>>Proof of Service Form – Individual 2017