Forms & Documents

Download and complete therapy forms at your convenience

Please complete all required forms before your first appointment. This helps us make the most of our time together.

New Client? Start Here

Download our complete new client packet to save time at your first appointment. Forms can be completed digitally or printed and filled out by hand.

Client Information & Intake Form
Required

Basic information about you, your health history, and reasons for seeking therapy

4 pagesUpdated 1/1/2024

Informed Consent for Psychotherapy
Required

Important information about therapy services, confidentiality, and your rights

3 pagesUpdated 1/1/2024

Notice of Privacy Practices (HIPAA)
Required

How your health information is protected and may be used

2 pagesUpdated 1/1/2024

Financial Agreement & Fee Schedule
Required

Payment policies, fees, and insurance information

2 pagesUpdated 1/1/2024

Practice Policies & Procedures
Required

Office policies including appointments, cancellations, and communications

2 pagesUpdated 1/1/2024

Client Rights & Responsibilities

Your rights as a client and what we expect from our therapeutic relationship

1 pageUpdated 1/1/2024

Telehealth Informed Consent

Agreement for receiving therapy services via video sessions

2 pagesUpdated 1/1/2024

Authorization to Release Information

Permission to share information with other healthcare providers or designated parties

1 pageUpdated 1/1/2024

Credit Card Authorization

Secure authorization for credit card payments

1 pageUpdated 1/1/2024

Good Faith Estimate

Estimate of therapy costs for uninsured or self-pay clients (No Surprises Act)

2 pagesUpdated 1/1/2024

How to Complete & Submit Forms

1. Download Forms

Download the forms you need. New clients should download the complete packet.

2. Complete Forms

Fill out forms digitally or print and complete by hand. Take your time.

3. Submit Securely

Email completed forms or bring printed copies to your first appointment.

Secure Submission Options

Email (Preferred)

Send completed forms to [email protected]

In Person

Bring completed forms to your first appointment

Client Portal

Coming soon - Secure upload through our client portal

Your Privacy is Protected

All information you provide is kept strictly confidential and protected under HIPAA regulations. We use secure, encrypted methods for handling your personal health information.