Please click on the purple buttons to access adult intake paperwork and download all the underlying documents. Then fill the documents out and bring them into my office for your first appointment.

For parents or guardians of minors, please click on the aqua buttons for child intake paperwork, and download those documents. Then fill the documents out and bring them into my office for your first appointment.

    If forms do not download on left click, then right click and select “save link as”. Then you can save it to your computer and print it from there.
Download Client Information and Consent FormDownload Personal History FormDownload Fee Agreement FormDownload Court Fee Agreement FormDownload Client Confidentiality and Consent FormDownload Notice of Privacy Practices FormEMDR Client HandoutAdverse Childhood Experiences QuestionnaireDownload Client Information and demographics Form (parent or guardian)Download Consent for treatment of a minorDownload Client Confidentiality and Consent FormDownload Notice of Privacy Practices FormDownload Fee Agreement Form