Client Intake Forms

Have you Scheduled an Appointment with me? Then please see below.

Client Forms
Below you will find information about my practice policies, including forms that require your review and signature before we can proceed with services. Please bring signed forms to our first appointment. I will also have these available in person, but completing them ahead of time will allow us more time to proceed with discussing the issues that led you to counsel.

Please print and sign the following documents and bring to our first meeting:

Disclosure Statement
Billing Information
Client Intake
Social Media Policy
Notice Of Privacy Practices Signature Form 1
Notice Of Privacy Practices Signature Form 2

The following documents are for your reference to read and print if you wish; you do not need to bring them to the appointment unless you have questions:

Brochure:What can I expect from counseling?
Notice Of Privacy Practices

Supervision Forms (only for professional LMHCAs seeking professional supervision).
If you are a masters-level clinician and will be meeting me for clinical supervision, please sign and bring the following forms to our first meeting:

Supervision Contract
Supervision Consent Form