Please fill out the following forms and bring them with you to the appointment.
- Intake Form
- Please fill out a client profile form. Choose one of the versions below
- Personal History Form/Client Profile (.pdf
version; requires the free
Adobe Reader)
- Personal History Form/Client Profile (.doc
version; requires Microsoft Word)
- If you are having couples counseling, download one version of the following
form but do not fill it out until your second session.
Couples Inventory (.pdf version; requires
the free Adobe Reader)
Couples Inventory (.doc version; requires
Microsoft Word)
If you have insurance:
- Before your appointment, please call insurance company and find out your:
- authorization number
- co-payment
- number of pre-authorized sessions
- deductible
- the insurance company's address and phone number for mental health
claims
and email this information to me at least a day before your appointment.
- Fill out the follwing web-based form
- Download, fill out and sign this Insurance
Form and bring it with you to the office.