These forms will change periodically. Please inquire before filling out any of these forms as I may prefer to email you more current ones.

If you’re a new client, please complete the following forms and bring them to your first therapy session.

• Client Psychotherapy Intake Form
• Limits of Confidentiality
• Memory Information Form to come

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:

• Authorization for Release of Information

After we speak I might request that you fill out one or more of the following forms.

• Symptom Checklist (to come)
• Family of Origin Brief History (to come)
• DES ( to come)
• Time-Line of events (to come)