Forms

The following documents are in Adobe Acrobat format. To download the free Adobe Reader software, click here.

 

Please read the following before your initial appointment: 

• Notice of Privacy Practices

 

Please fill out the following forms and bring them with you to your first appointment. If you have questions or concerns about the paperwork, I would be happy to answer them when we meet.

• Informed Consent
• Intake Form
• Privacy Practices Acknowledgement

 

If you would like me to communicate with your primary care provider or another agency, please fill out the following form:

• Release of Information