The documents below make up the New Client Forms. They are full of information that you need to read prior to your first appointment as well as two forms that you will need to fill out prior to your first session.
To save some time before the first session, you can read the need-to-know information, fill out the first session forms and bring them along with you to the appointment.
You can download the entire New Client Forms here or browse them individually below.
Psychologist-Client Services Agreement
Describes my office procedures and the agreement for therapy services. This document explains therapy, insurance, your confidentiality, contacting me, and other information relevant to our work together. If you have questions after reading it, I encourage you to bring them up when we meet.
Billing and Collection Policies
Explains in further detail my fees, using your insurance and paying for my services.
Social Media Policy
Lays out my policies and procedures as they relate to our potential interactions on the Internet. Please let me know if you have questions or concerns about these policies.
Describes your privacy rights, my responsibilities to protect your privacy, and when your private information may be disclosed.
Billing Information Form
Prior to our first session, please complete this form, and bring it to our first appointment. It provides basic demographic information for my records and details about your insurance, if you choose to use it.
Once you have read my Psychologist-Client Services Agreement, my Billing & Collection Policies, my Social Media Policy, and the HIPAA Notice, please sign this Acknowledgment Form. It states that you have access to and have read all forms. Bring the signed form to our first session.
If you are unable to download the forms to bring, please contact me. I would be happy to mail or fax them to you. Alternatively, you can arrive 15 minutes early to complete the forms on the day of your appointment, but let me know in advance so I can leave them out for you.