If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.

• Patient Agreement
• Social Media Policy
• Adult Assessment
• Child Assessment
• Couples Intake
• HIPPA Form
• Informed Consent for Telepsychology/Telehealth
• Informed Consent Checklist For Telepsychology Services

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

• Authorization for Release of Information

If you would prefer to pay out of pocket at the self-pay rate, please mention that in your initial call and we will provide you with rates.  As a self-pay person, you will be provided with a Good Faith Estimate (GFE) based on the cost of services. Please refer to the below for a comprehensive explanation.

• Good Faith Estimate Statement
• Good Faith Estimate Client Document
• Good Faith Estimate Cover Letter
• Good Faith Estimate Client Notice
• Good Faith Estimate Notice of Rates
• Determining the Amount Your Health Insurer Requires You to Cover