Patient Forms
Everything you need to get started before your first session
Before Your First Session
These forms help me understand your background, goals, and how I can best support you. Please complete the required forms before we meet—you can download them here, fill them out digitally or by hand, and return them via email, text, or in person.
Forms are also available through the secure patient portal.
Required Forms
CLIENT INTAKE
Basic information and medical history
CONSENT TO TREAT
Authorization for treatment
NOTICE OF PRIVACY PRACTICES
HIPAA privacy information
RECEIPT OF PRIVACY PRACTICES
Acknowledgment of receipt
Additional Forms (as needed)
RELEASE OF INFORMATION
Authorization to share records
EMDR CONSENT FORM
Specific to EMDR therapy
INVENTORY OF PREFERENCES
Treatment preferences and goals
Submit Your Completed Forms
Once you've completed the forms, you can return them using any of these methods:
In Person
Bring to your first session
Questions About the Forms?
If you have any questions about the intake process or need assistance, I'm happy to help.
Contact Me