Forms

For your first visit, please read and complete the Client Registration and  Agreement for Psychological Services forms. If you  are planning on using insurance to help pay for your sessions, please complete the Insurance Verification form. We will go over all three forms during our initial session, so you may ask any questions you have at that time.

• Client Registration
• Agreement for Psychological Services
• Insurance Verification
  

The Authorization to Release Confidential Records and Information form is what I use to obtain your permission to speak to other people about you or your family. It is not necessary to bring to this form to counseling sessions unless you would like for me to talk to another person (e.g., healthcare professional, educator, family member) with whom you wish me to share therapy information.

• Authorization to Release Confidential Records and Information