Please print these forms, fill them out, and bring them with you to your first appointment. If you do not have access to a printer, please let me know and I will leave these forms on a clipboard in the waiting room for you. If you choose to fill out these forms in the waiting room, please arrive 20 minutes early to your appointment to ensure sufficient time.

New Client Registration Form

Client-Therapist Agreement

Checklist of Concerns

Privacy Notice

Emergency Numbers


If you would like any party, such as your physician or your partner, to be able to exchange information with me, please fill out the Release of Information Agreement below and bring this with you in addition to your other forms. If not, this form is not mandatory.

Release of Information