Forms

Please click on the following links for forms and notices that you can print directly from your computer.

Informed Consent: Take time to familiarize yourself with the items on this form and jot down any questions. We will discuss it in detail in our first or second meeting. (Please wait till then to sign it.)

Notice of Privacy Rights and Practices: The first four pages are for you. You need only bring me the signed “Acknowledgment of Receipt”.

Release of Information: Completing this form permits me to speak with your primary psychotherapist, so that we can discuss your goals, needs and capacities.

Life Functioning Inventory: Your thoroughness in completing this form will assist me in identifying areas of strength and concern.