Outpatient Services Contract/HIPPA: All clients need to thoroughly review this document. Please print and bring a signed copy of the signature page to our first appointment.
Client Information Form: Please print and fill out this form. Please bring this completed form to our first appointment.
Credit Card Consent Form: I require all clients to submit a credit card consent form. This authorizes me to charge your credit card in cases of nonpayment.
Release of Information: Please complete this form if you have other health care professionals that you would like me to share information with regarding your treatment. Examples may include: primary care physicians, psychiatrists, and other therapists.
