Forms To Bring (Hover over and click on applicable forms.)
Please fill out and send or bring the Consent to Treatment and Client Intake Form to your first appointment. Please fill out the credit card authorization form with your signature. (It's fine to tell me the number over the phone, in person, or on Zoom, but please put the last four digits on the form.) Please also send or bring a completed release of information form, both page 1 and page 2--it allows me to communicate with previous care providers, whether therapists or primary care physicians. (Bring as many of these forms as there are providers, typically a primary care physician and possibly a therapist or psychiatrist.) If you have Aetna insurance, please also print out the Insurance Information form.
Please fill out and send or bring the Consent to Treatment and Client Intake Form to your first appointment. Please fill out the credit card authorization form with your signature. (It's fine to tell me the number over the phone, in person, or on Zoom, but please put the last four digits on the form.) Please also send or bring a completed release of information form, both page 1 and page 2--it allows me to communicate with previous care providers, whether therapists or primary care physicians. (Bring as many of these forms as there are providers, typically a primary care physician and possibly a therapist or psychiatrist.) If you have Aetna insurance, please also print out the Insurance Information form.