Printable Forms

Couples Intake Form

New couples, please complete the following forms and bring them to your first therapy session.  Each partner, please complete separate form.
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New Client Form

If you’re a new client, please complete the following forms and bring them to your first therapy session.

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Current Client Forms

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

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Note: To download Adobe Acrobat Reader for free,

Couples Therapy Agreement

COVID-19 Liability Waiver