Forms

After scheduling an appointment, please download the PDF forms below and bring with you to your first appointment.

BELOW you will find links to download intake paperwork, HIPAA (privacy forms), payment arrangements, etc.

To best utilize our time together, please have all documents printed out, completed, read through thoroughly, and signed. If you have any questions, please note them and ask in your appointment or via email.

1.) Click on the icon below to download individual Client Intake Form

mothintake.pdf

2.) Click on the icon below to download the HIPAA Privacy Act Form to keep for your own personal records

mothintake.pdf

Forms

After scheduling an appointment, please download the PDF forms below and bring with you to your first appointment.

​

1.) Click on the icon below to download individual Client Intake Form

2.) Click on the icon below to download the HIPAA Privacy Act Form to keep for your own personal records