Forms

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Information and Informed Consent
Adult Therapy
If you are interested in starting therapy, please download, read, complete, and sign this document prior to your initial consultation.

Adult Psychological Assessment
If you are interested in a psychological assessment, please download, read, complete, and sign this document prior to your initial consultation.

Child Psychological Assessment
If you are interested in psychological assessment for your child, please download, read, complete, and sign this document prior to your initial consultation.

Patient Information and History
Adult Medical Symptom History
If you are interested in therapy or a psychological evaluation, please download and complete this brief medical history prior to your initial consultation.

Child Information and History
If you are interested in psychological evaluation for your child, please download and complete this brief medical history prior to your initial consultation.

Exchanging Information with Other Professionals
Authorization to Obtain and Exchange Information
Please complete and sign this document if you desire me to consult with another professional.