BEFORE YOUR FIRST APPOINTMENT

ADULTS: Please fill out the following forms:

Client Information Form – please be sure to read and sign the cancellation policy at the bottom.

HIPAA Signature Sheet

Adult Intake Questionnaire – this should only take about 5 minutes to fill out. It provides me with information about current symptoms you are experiencing as well as information about any family history of mental health issues. If you prefer to discuss your responses to this form rather than fill out ahead of time, that is fine.

Telepsychology Consent Form

OPTIONAL FORMS:

Outdoor Therapy Consent Form- please complete if you are interested in conducting any of your sessions outdoors while walking.

Client Consent for Animal-Assisted Therapy- please complete if you are doing in person sessions and are interested in/ willing to have contact with Cali, my therapy dog.

ADOLESCENTS: Parents, please fill out all of the above forms except for the Adult Intake Questionnaire. Instead, please ask your child to fill out the Adolescent Intake Questionnaire.