Child Packet

***Special Notice: Prior to children participating in therapy, the most current divorce/custody decree is required to be on file. If applicable please bring a copy of your decree to the first session.

Adult Packet (for clients coming in as individual participants)

Additional Forms:

  • Release of Information Form- please fill out if there is anyone with whom it would be helpful for me to speak with (e.g psychiatrist, psychologist, clergy members, teachers, family members, CPS caseworkers, etc). 

  • Teletherapy Consent Addendum- Required for all clients using teletherapy services. 


Notice of Privacy Practices-please read and keep a copy for your records (I have hard copies available at my office upon request).