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.
Client Services Agreement
Describes my office procedures and the agreement for therapy services. This document explains therapy, insurance, my fees, 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.
Describes your privacy rights, my responsibilities to protect your privacy, and when your private information may be disclosed.
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 Client Services Agreement 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.
Credit Card Authorization
For your convenience and office efficiency, this form allows for secure storage of your credit card for payments on your account.
Telehealth Services Informed Consent Form
Please review my telehealth policies and fill out this form if we have agreed to meet via telehealth for any portion of your therapy services.
This form allows you to provide some information about your history and symptoms so that we can focus on the most pressing concerns in our first session.
Click here to download all the paperwork for the 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.