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 Form
Download Personal History Form
Download Fee Agreement Form
Download Court Fee Agreement Form
Download Client Confidentiality and Consent Form
Download Notice of Privacy Practices Form
EMDR Client Handout
Adverse Childhood Experiences Questionnaire
Download Client Information and demographics Form (parent or guardian)
Download Consent for treatment of a minor
Download Client Confidentiality and Consent Form
Download Notice of Privacy Practices Form
Download Fee Agreement Form