If you're a new client, please download, print, and complete the following forms and bring them to our first therapy session.
- Adult or Child Intake Form (*Note: Child intake form for 14 y/o and younger. otherwise, download and print adult form and bring it to our first session)
- Client Contract for Treatment
- NJHIPPA Form
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, teachers etc.), download and print the PDF file: "Authorization for Release of Information" form below
- Authorization to Disclose Information Form
|Adult Client Intake Form|
|Child Intake Form|
|Client Contract for Treatment|
Authorization to Disclose Information
NJ HIPPA Form
Note: To download Adobe Acrobat Reader for free, click here.