Helpful Forms

NEW CLIENTS , please complete the following forms. The registration will need to be printed (I'm working on the electronic version though!).

• Informed Consent
• Registration Form
• Somatic Psychotherapy Release

IF YOU HAVE INSURANCE , please complete the following form.

• Insurance Form

FOR ME TO SPEAK WITH ANOTHER PROVIDER (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information.

• Release of Information

FOR TELEMENTAL HEALTH sessions by video, please read and sign the following form.

• TeleMental Health Consent

TO RETURN TO SESSION IN THE OFFICE for the first time since the COVID-19 pandemic please read and sign the following forms.

• COVID-19 Consent for In-Office Session
• COVID-19 Risk Assessment

Note: To download Adobe Acrobat Reader for free, click here .