Please click on the links below to download and print out forms to bring to your first appointment.  I am happy to answer any questions you have about material when we meet.

These forms are required:

Informed Consent

Notice of Privacy Practices

ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES



Intake Data Form

Credit Card Agreement

Optional if interested in using EMDR:

EMDR Informed Consent

Please print out and complete the forms located on the left of your screen.  Bring one signed and completed set to your first appointment and retain one copy for your records.  Thank you

If you are interested in my communicating with any other health professional who is treating or has treated you in the past, this Release of Information is required in writing before I can share any information.