Please complete the following forms (Individual Intake Packet or Couples Intake Packet as appropriate) before your first session. If you are not able to complete these forms at home, please arrive 15 minutes early for your first session to complete them. We will discuss them during your initial session.

If you are seeing a psychiatrist or you think you will want me to contact your primary care provider (PCP) at some point, please complete the Release of Information form as well. I am unable to talk to anyone on your behalf without your consent.

If I do not currently take your insurance plan, please take a look at the Out of Network Information below. Many insurance plans will cover some to most of your therapy costs out-of-network.

Forms to read and print off prior to first visit

You may also need

The forms above can be printed and filled out by hand, or you can fill them out using Adobe Reader (free software) and print the filled form. To fill them out digitally, first download Adobe Reader here if you do not already have it installed. Then right-click on the appropriate form link above and choose “Save link as” or “Save target as”, download the form to your computer, and open it with Adobe Reader from there. You can then type your information in the blanks and print the form with your type-written responses.