Please download, read, complete and sign the appropriate form(s) below. Bring them with you to our first appointment. We can discuss any questions you may have at that time or you can contact me in advance of your appointment.
• Client Information & Informed Consent Form.pdf
For all adult clients. If you are coming as a couple you will each need to fill one out.
• Family.Child Information Form.pdf
For families coming with a minor child (Under 18 years of age.) Please also fill out Consent to Treat a Minor Form.
• Consent to Treat a Minor Form.pdf
This must be signed by the parent or legal guardian.
• Privacy Statement.pdf
This form explains HIPPA privacy laws regarding your health information.
• Release of Information Form.pdf
This form gives me permission to speak with designated parties.
To read these files you need Adobe Reader, which you can download here: