Forms

Client Registration

Healing begins with one simple action. If you’re ready to move forward, please complete the form and I’ll be in touch to schedule your first session.

Client Intake

Start your journey here—download, complete, and bring this form to your first session.

Disclosure Form

Please review and sign this form before your first session. It outlines important information about confidentiality, privacy, and your rights as a client.

HIPAA

Please review and sign this form to acknowledge your rights and protections under HIPAA. Your privacy and confidentiality are always a priority.

Tele-therapy Consent

Download and sign this form to confirm you agree to receive counseling services via secure video sessions.