Client Intake Form

Please click link below.  Print and fill out to bring to initial session.

Intake form

Confidentiality/ Cancelation policy

Please read carefully, print out and sign to bring to initial session.

confidentiality and cancelation policy

Consent to release

If you would like to share information from another provider with me or wish me to share information with another person or provider please print and sign for release of any confidential information. Click link below.

consent to release