If you are a first-time client and have already scheduled an appointment, please download and complete the following forms. Bring them with you to your first session:
 

Click here to download New Patient forms* for Adults Download two sets for couples entering counseling
Click here to download New Patient forms* for Minors
If you would like me to coordinate care with another provider (for example, your psychiatrist, family physician, hospital, etc.), please also complete this form and bring it with you: Consent to Release Information Form

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

*ANNOUNCEMENT:
Effective November 1, 2011, a $175 deposit is required before your initial appointment may be scheduled. The deposit covers the fee for your first appointment.
At the time you schedule your first appointment, you will be asked to provide a cash deposit, credit card, or debit card, which will be charged:
     (1) at the time of your first appointment, or
     (2) in the event you fail to keep your appointment and do not cancel the appointment at least twenty-four hours in advance.

This policy has been necessitated by an increasing number of people who schedule an appointment and then fail to keep that appointment. Our waiting list is lengthy at times
and failed appointments deprive others from receiving timely treatment.

I appreciate your understanding and cooperation.