Helpful Form

If you're a new client, please complete the following fill-able forms and send them back using the "Secure File Transfer" link.

Send all forms to:
[email protected]

Client Psychotherapy Intake Packet

Consent for Treatment and Limits of Liability

Notice of Privacy Practices

Disclosure Statement

Secure File Transfer

Note: To download Adobe Acrobat Reader for free, click here .

If you would like any information shared with your physician or any one else please fill out below form.

Authorization to Use and Disclose Protected Health Information