Please note, you will need Adobe Reader to open the documents.
If you need to download the free Adobe Reader, please download it here.
New Client Forms
- Client Information Form
- Developmental Inventory
- Informed Consent for Telepsychology
- Insurance Information and Authorization Form —Complete this form if you will be using your health insurance.
- Medicare Contract–Complete this form if you are eligible for Medicare or if you are 64 years old or older.
HIPAA Notice of Privacy Practices
This document is only for your information
This document allows me to send, receive, or exchange information with someone of your choice, for example, your primary care provider or a former therapist.