If you’re a new client, please download and complete the appropriate forms prior to your first session. If you have any questions, feel free to reach out.
If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Helpful Information
If you need a PDF reader, you can download Adobe Acrobat Reader HERE for free.
We also offer:
Secure Client Portal via SimplePractice
To complete your forms online, please request an appointment via our SimplePractice. Once your request is received, you will be sent an invitation with instructions to log in and complete your paperwork.
*Recommended for secure, paperless, and faster processing.
Confidentiality & Privacy Policy
The law protects the confidentiality of communication between a client and a psychotherapist, and information cannot be shared without your written permission.
Exceptions include:
- Suspected child abuse or dependent adult or elder abuse, for which I am required by law to report this to the appropriate authorities immediately.
- If a client is threatening serious bodily harm to another person/s, I must notify the police and inform the intended victim.
- If a client intends to harm himself or herself, I will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, I will take further measures without their permission that are provided to me by law in order to ensure their safety.
