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
Telemental Health Consent