Client Forms

Complete Digitally and Email them to me Please

Please download and complete the applicable forms. You can fill them out digitally and email them to me as an attachment before our first session.

The more details you provide, the better—but there’s no pressure to answer anything you’re not comfortable with. We can always discuss it during our session.

Form 1: Client Intake Form

Form 2: Practice Personal Disclosure Statement

Form 3: Release of Medical Records

Form 4: Couples Therapy(If Applicable)

Form 5: Multimodal Life History Interview

Download All Forms