Forms

Client Registration Forms

These forms are required to be reviewed and signed before your first session with me.  Please download the forms from the appropriate section below.

Individuals who are applying for therapy with Insurance

Click each form to download individually or [Download all forms as zip file]

  • Client Registration Form (with insurance information)
  • Client Rights
  • Statement of Informed Consent
  • Payment Plan
  • Email and Text Communication Policy
  • Telemental Health Consent

Individuals who are applying for therapy who are Self Pay

Click each form to download individually or [Download all forms as zip file]

  • Client Registration Form (self pay)
  • Client Rights
  • Statement of Informed Consent
  • Payment Plan
  • Email and Text Communication Policy
  • Telemental Health Consent

Individuals who are applying for the Anger Management Group

Click each form to download individually or [Download all forms as zip file]

  • Client Registration Form (with insurance information)
  • Client Registration Form (self pay)
  • Client Rights
  • Statement of Informed Consent
  • Payment Plan for Group Sessions
  • Email and Text Communication Policy
  • Anger Management Group Description
  • Group Contract